Flagstaff First Assist, PLLC
Nurse Practitioner, Family in Flagstaff, AZ. Organization (NPI-2).
NPI number1245525914
StatusActive
Last updated in NPPESNov 5, 2015
Details
- NPI
- 1245525914
- Entity type
- Organization (NPI-2)
- Legal business name
- Flagstaff First Assist, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2011
- Last updated
- Nov 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP8050 | AZ | Yes |
Practice location
2050 E Chisholm TrlFlagstaff, AZ 86001-9328
Phone 928-714-9379
Mailing address
2050 E Chisholm TrlFlagstaff, AZ 86001-9328
Phone 928-714-9379
Authorized official
Jackie M Kypta
President
9287149379
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