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Nova Via Glendale LLC

Integrative Medicine Physician in Glendale, AZ · enumerated 2025 · authorized official Stephanie Jolly, Chief Compliance Officer.

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

National Provider Identifier

1801764212

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Registry record

Entity type Organization (Type 2)
Legal business name Nova Via Glendale LLC
Practice address 6830 N 55th Ave, Suite 100, Glendale, AZ, 85301
Phone (480) 543-7432
Enumeration date Oct 27, 2025
Last updated in NPPES Oct 27, 2025

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
106S00000X Behavior Technician Behavioral Health & Social Service Providers Secondary
111N00000X Chiropractor Chiropractic Providers Secondary
133N00000X Nutritionist Dietary & Nutritional Service Providers Secondary
163W00000X Registered Nurse Nursing Service Providers Secondary
164W00000X Licensed Practical Nurse Nursing Service Providers Secondary
202D00000X Integrative Medicine Physician Allopathic & Osteopathic Physicians Primary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2083A0300X Addiction Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Secondary
251B00000X Case Management Agency Agencies Secondary

Authorized official

Name Stephanie Jolly
Title Chief Compliance Officer
Phone (480) 543-7432

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

Where is Nova Via Glendale LLC located?
The practice location on file with NPPES is in Glendale, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-27. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-27.