Provider Demographics
NPI:1689553844
Name:CHASE ELITE WELLNESS & CONCIERGE
Entity type:Organization
Organization Name:CHASE ELITE WELLNESS & CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:480-818-3759
Mailing Address - Street 1:4539 N 22ND ST STE 5206
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4639
Mailing Address - Country:US
Mailing Address - Phone:602-737-0818
Mailing Address - Fax:877-471-3046
Practice Address - Street 1:4539 N 22ND ST STE 5206
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4639
Practice Address - Country:US
Practice Address - Phone:602-737-0818
Practice Address - Fax:877-471-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-30
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care