Organization · Type 2 NPI
Prestige Primary Care, PLLC
Primary Care Nurse Practitioner · Queen Creek, AZ
NPI number
1144797374
Active
Practice location
21321 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142-5993
Mailing address
PO Box 1009
Queen Creek, AZ 85142-1821
Other practice locations
- 1963 Commerce Center Cir Ste B, Prescott, AZ 86301-4497 · (480) 815-7074
- 6343 E Main St Ste B1, Mesa, AZ 85205-8972 · (480) 815-7074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Queen Creek
About NPI 1144797374
Prestige Primary Care, PLLC's National Provider Identifier is 1144797374, issued on Oct 25, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Queen Creek, AZ. The record was last updated on Apr 5, 2022.