Organization · Type 2 NPI

Grand Canyon Medical Clinic PLLC

Family Nurse Practitioner · Yuma, AZ

NPI number 1164141065 Active

Practice location

1841 W 25th St Ste B
Yuma, AZ 85364-6931

Call (928) 503-7246 Map

Mailing address

1329 W 20th St
Yuma, AZ 85364-5321

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1164141065

Grand Canyon Medical Clinic PLLC's National Provider Identifier is 1164141065, issued on Aug 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Yuma, AZ. The record was last updated on Feb 20, 2024.