Organization · NPI-2

Daisy Family Health Care

Nurse Practitioner, Primary Care · Glendale, AZ

NPI number1750157483
StatusActive
Last updated in NPPESDec 4, 2023

Details

NPI
1750157483
Entity type
Organization (NPI-2)
Legal business name
Daisy Family Health Care
Organization subpart
No
Enumeration date
Dec 4, 2023
Certification date
Dec 4, 2023
Last updated
Dec 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care––Yes
2083B0002X Preventive Medicine, Obesity Medicine––
261Q00000X Clinic/Center––
363LW0102X Nurse Practitioner, Women's Health––

Practice location

4494 W Peoria Ave Ste 115a
Glendale, AZ 85302-2020

Phone 602-344-9737 · Fax 602-344-9737

Mailing address

4494 W Peoria Ave Ste 115a
Glendale, AZ 85302-2020

Phone 602-344-9737 · Fax 602-344-9737

Other practice locations

15655 W Roosevelt St Ste 214
Goodyear, AZ 85338-9306

Phone 602-344-9737 · Fax 602-344-9737

Authorized official

Angela Davis
Provider
6023449737

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