Organization · Type 2 NPI

Genesis Mobile Doctors

Nurse Practitioner · Phoenix, AZ

NPI number 1417860099 Active

Practice location

2737 E Greenway Pkwy Ste 8
Phoenix, AZ 85032-3699

Fax (602) 699-6267

Mailing address

18621 N 13th Dr
Phoenix, AZ 85027-5401

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417860099

Genesis Mobile Doctors's National Provider Identifier is 1417860099, issued on Sep 24, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 24, 2026.