Organization · NPI-2

Abcore Family Practice LLC

Nurse Practitioner, Family · Phoenix, AZ

NPI number1417348244
StatusActive
Last updated in NPPESDec 9, 2025

Details

NPI
1417348244
Entity type
Organization (NPI-2)
Legal business name
Abcore Family Practice LLC
Organization subpart
No
Enumeration date
Feb 16, 2015
Certification date
Dec 9, 2025
Last updated
Dec 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP7356AZYes

Practice location

4141 N Herrera Way
Phoenix, AZ 85012-1814

Phone 623-419-2799

Mailing address

6223 N 21st Dr
Phoenix, AZ 85015-1902

Phone 623-419-2799 · Fax 602-358-7649

Authorized official

Juan J Lopez
Manager
6234192799

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