Bryan J Ebeling
Nurse Practitioner, Family in Camp Verde, AZ. Individual provider (NPI-1).
NPI number1164058087
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1164058087
- Entity type
- Individual (NPI-1)
- Name
- Bryan J Ebeling
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 239674 | AZ | Yes |
Practice location
1298 W Finnie Flat RdCamp Verde, AZ 86322-5958
Phone 928-639-5555
Mailing address
7805 W Sweetwater TrlFlagstaff, AZ 86001-8191
Phone 435-749-0078
Other practice locations
1298 W Finnie Flat Rd
Camp Verde, AZ 86322-5958
Camp Verde, AZ 86322-5958
Phone 928-639-5555
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All 14 Family Nurse Practitioner providers in Camp Verde · All 154 providers in Camp Verde
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