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R&N FAMILY MEDICAL PRACTICE LLC NPI 1437661212


NPI Information

NPI: 1437661212
Provider Name: R&N FAMILY MEDICAL PRACTICE LLC

Doing Business As: MARYVALE FAMILY PRACTICE GROUP INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D2146558

Address:
4700 N 51ST AVE
PHOENIX, AZ
ZIP 85031
Phone: (623) 209-5555
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R&N FAMILY MEDICAL PRACTICE LLC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R&N FAMILY MEDICAL PRACTICE LLC NPI is 1437661212. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maryvale Family Practice Group Inc.

The provider's business location address is:

4700 N 51ST AVE
PHOENIX, AZ
ZIP 85031-237
Phone: (623) 209-5555
Fax: (623) 247-1905

The provider's authorized official is Nahla Chirco .
The authorized official title is Fnp and has the following contact phone number (248) 250-3146.

The CLIA number assigned to this NPI record is 03D2146558 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2017 and was last updated on 11/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11750518395OTHERMICHIGANNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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