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NPI Code Detail

MEDICARE: INNERVATIONS LLC

MEDICARE: INNERVATIONS LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1639049703
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNERVATIONS LLC
Provider Business Mailing Address
First Line : 6751 N SUNSET BLVD STE 320
Second Line :
City : GLENDALE
State : AZ
Zip : 85305-3155
Country : US
Telephone Number : 602-535-7143
Fax Number :
Provider Business Practice Location Address
First Line : 6751 N SUNSET BLVD STE 320
Second Line :
City : GLENDALE
State : AZ
Zip : 85305-3155
Country : US
Telephone Number : 602-535-7143
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : JOY PRYOR
Credential : PMHNP-BC
Telephone Number : 602-535-7143
Provider Enumeration Date : 11/05/2025
Last Update Date : 01/12/2026

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Directions to “INNERVATIONS LLC ” Practice Location

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