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Blue River Health & Wellness, Pllc

Family Nurse Practitioner in Fort Mohave, AZ · enumerated 2022 · authorized official Nicole Roberts, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356073852

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Registry record

Entity type Organization (Type 2)
Legal business name Blue River Health & Wellness, Pllc
Practice address 1520 E Hammer Ln Ste 104, Fort Mohave, AZ, 86426
Phone (602) 315-0211
Enumeration date Jun 24, 2022
Last updated in NPPES Jun 24, 2022

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Nicole Roberts
Title Owner
Phone (928) 577-2727

Other identifiers

Identifier Type State Issuer
23375081 Other AZ CORPORATION ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Blue River Health & Wellness, Pllc?
The NPI for Blue River Health & Wellness, Pllc is 1356073852, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Blue River Health & Wellness, Pllc?
NPPES lists Nicole Roberts (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-24.