Organization · Type 2 NPI
Sycamore Avenue Medical Center, PLLC
Family Nurse Practitioner · Kingman, AZ
NPI number
1245762491
Active
Practice location
975 Sycamore Ave
Kingman, AZ 86409-3548
Fax (928) 681-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP3349 (AZ) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1245762491
Sycamore Avenue Medical Center, PLLC's National Provider Identifier is 1245762491, issued on Mar 28, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingman, AZ. The record was last updated on Jan 11, 2021.