MEDICARE: VERDE VALLEY FUNCTIONAL WELLNESS CENTER & MEDICINAL APOTHECARY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1437013562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERDE VALLEY FUNCTIONAL WELLNESS CENTER & MEDICINAL APOTHECARY PLLC

Provider Business Mailing Address
First Line	:	830 S MAIN ST STE 1A
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-4621
Country	:	US
Telephone Number	:	928-852-0472
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 S MAIN ST STE 1A
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-4621
Country	:	US
Telephone Number	:	928-852-0472
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	SHELLEY MAE CANDELARIA
Credential	:	NP
Telephone Number	:	928-607-1971

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1659524692 — DR. MASSOUD EFTEKHARI DDS
Practice Location Address:

830 S MAIN ST STE 1D
COTTONWOOD, AZ
86326-4621

Practice Phone: 602-430-8462
Practice Fax: 928-634-1363

1528567575 — DR. MASSOUD EFTEKHARI
Practice Location Address:

830 S MAIN ST STE 1D
COTTONWOOD, AZ
86326-4621

Practice Phone: 928-634-5566
Practice Fax: 928-634-5566

1447032321 — SHELLEY MAE CANDELARIA FNP-BC
Practice Location Address:

830 S MAIN ST STE 1A
COTTONWOOD, AZ
86326-4621

Practice Phone: 928-852-0472
Practice Fax: 888-371-5734

1144394008 — HANGER PROSTHETICS & ORTHOTICS WEST INC
Practice Location Address:

115 S CANDY LN STE B1
COTTONWOOD, AZ
86326-4184

Practice Phone: 928-639-1211
Practice Fax:

1821252925 — DR. ADAM SCHNEIDER MD
Practice Location Address:

340 S WILLARD ST
COTTONWOOD, AZ
86326-4126

Practice Phone: 928-639-7960
Practice Fax:

1538023635 — MARIA GUADALUPE UDAVE RN
Practice Location Address:

1 N WILLARD ST
COTTONWOOD, AZ
86326-3651

Practice Phone: 928-634-2288
Practice Fax:

Directions to “VERDE VALLEY FUNCTIONAL WELLNESS CENTER & MEDICINAL APOTHECARY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.