Affinity Family Medicine
Nurse Practitioner, Family in Chandler, AZ. Organization (NPI-2).
NPI number1275225039
StatusActive
Last updated in NPPESSep 17, 2023
Details
- NPI
- 1275225039
- Entity type
- Organization (NPI-2)
- Legal business name
- Affinity Family Medicine
- Organization subpart
- No
- Enumeration date
- May 22, 2023
- Certification date
- Sep 17, 2023
- Last updated
- Sep 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
2075 W Warner Rd Ste 1Chandler, AZ 85224-2109
Phone 480-788-9510
Mailing address
2075 W Warner Rd Ste 1Chandler, AZ 85224-2109
Phone 480-788-9510
Authorized official
Ashlee P Dauscha
Nurse Practitioner
4804308545
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