ADVANCED PRACTICE NURSE SOURCE, LLC is an adult medicine family medicine in Glendale, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ADVANCED PRACTICE NURSE SOURCE, LLC NPI is 1790536654. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
12772 N 58TH AVE
GLENDALE, AZ
ZIP 85304-878
Phone: (801) 550-6059
The provider's authorized official is Melissa Ann Miller Sarhan .
The authorized official title is Ceo and has the following contact phone number (801) 550-6059.
The enumeration date for this NPI number is 3/28/2024 and was last updated on 3/28/2024.