YAVAPAI FAMILY MEDICAL PLLC NPI 1326786906

NPI Information

YAVAPAI FAMILY MEDICAL PLLC is a family nurse practitioner in Prescott Valley, AZ. YAVAPAI FAMILY MEDICAL PLLC NPI is 1326786906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7750 E FLORENTINE RD STE A
PRESCOTT VALLEY, AZ
ZIP 86314-245
Phone: (928) 277-1211
Fax: (928) 277-1239

The provider's authorized official is Louella Bauman .
The authorized official title is Owner and has the following contact phone number (928) 277-1211.

The CLIA number assigned to this NPI record is 03D2266060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 10/27/2022.

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:

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