GOODYEAR FAMILY NURSE PRACTICE LLC NPI 1619740685

NPI Information

NPI: 1619740685
Provider Name: GOODYEAR FAMILY NURSE PRACTICE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
17388 W NAVAJO ST
GOODYEAR, AZ
ZIP 85338
Phone: (602) 649-5927
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GOODYEAR FAMILY NURSE PRACTICE LLC is a primary care clinic center in Goodyear, AZ. GOODYEAR FAMILY NURSE PRACTICE LLC NPI is 1619740685. The provider is registered as an organization entity type.

The provider's business location address is:

17388 W NAVAJO ST
GOODYEAR, AZ
ZIP 85338-941
Phone: (602) 649-5927

The provider's authorized official is Kesasi Marsh .
The authorized official title is Owner and has the following contact phone number (602) 541-5790.

The enumeration date for this NPI number is 11/1/2023 and was last updated on 11/1/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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