Organization · Type 2 NPI

Triad Clinic PLLC

Family Nurse Practitioner · Glendale, AZ

NPI number 1174857791 Active

Practice location

4902 W Ironwood Dr
Glendale, AZ 85302-2402

Call (602) 667-4636 Map

Fax (480) 247-5551

Mailing address

5350 W Bell Rd, Suite C-122-417
Glendale, AZ 85308-3906

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X3175 (AZ)
Family Nurse Practitioner Primary 363LF0000XAP2115 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1174857791

Triad Clinic PLLC's National Provider Identifier is 1174857791, issued on Sep 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, AZ. The record was last updated on Nov 4, 2010.