Organization · Type 2 NPI
Proactive Healthcare
Family Nurse Practitioner · Phoenix, AZ
NPI number
1407754575
Active
Practice location
701 N 44th St Ste 116
Phoenix, AZ 85008-6504
Fax (602) 610-8835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1407754575
Proactive Healthcare's National Provider Identifier is 1407754575, issued on Oct 28, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 28, 2026.