Ambest Family Health Clinics, PLLC
Nurse Practitioner in Fort Mohave, AZ. Organization (NPI-2).
NPI number1063068898
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1063068898
- Entity type
- Organization (NPI-2)
- Legal business name
- Ambest Family Health Clinics, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2019
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
4841 S Mesa Villas Dr Apt 3Fort Mohave, AZ 86426-6436
Phone 928-577-7368 · Fax 928-299-3373
Mailing address
4325 S Otis RdFort Mohave, AZ 86426-6385
Phone 770-688-6691
Authorized official
Okey Iloegbunam
Owner / Member Manager
7706886691
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