Organization · NPI-2

Advanced Clinical Practitioners, LLC

Clinical Nurse Specialist, Family Health · Phoenix, AZ

NPI number1578096798
StatusActive
Last updated in NPPESApr 5, 2017

Details

NPI
1578096798
Entity type
Organization (NPI-2)
Legal business name
Advanced Clinical Practitioners, LLC
Organization subpart
No
Enumeration date
Apr 5, 2017
Last updated
Apr 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SF0001X Clinical Nurse Specialist, Family HealthRN103493AZYes

Practice location

20823 N Cave Creek Rd
Suite 103
Phoenix, AZ 85024-4468

Phone 623-399-8606 · Fax 623-399-9958

Mailing address

9815 E Cinnabar Ave
Scottsdale, AZ 85258-4737

Phone 623-399-8606 · Fax 623-399-9958

Authorized official

Maria Izdebski
Owner
6233998606

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