Organization · Type 2 NPI
San Jose Integrated Clinic LLC
Family Nurse Practitioner · San Luis, AZ
NPI number
1386287753
Active
Practice location
2000 E Juan Sanchez Blvd
San Luis, AZ 85336-0481
Fax (928) 627-0007
Mailing address
2575 W 24th St Apt 168
Yuma, AZ 85364-6066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in San Luis
About NPI 1386287753
San Jose Integrated Clinic LLC's National Provider Identifier is 1386287753, issued on Oct 17, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Luis, AZ. The record was last updated on Oct 17, 2019.