Organization · Type 2 NPI
Mountainside Medical Clinic
Family Nurse Practitioner · Phoenix, AZ
NPI number
1346800646
Active
Practice location
4139 W Bell Rd Ste 8&9
Phoenix, AZ 85053-2753
Mailing address
PO Box 9365
Surprise, AZ 85374-0139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1346800646
Mountainside Medical Clinic's National Provider Identifier is 1346800646, issued on Jun 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on May 7, 2020.