Organization · Type 2 NPI
CJK Health Center LLC
Family Nurse Practitioner · Avondale, AZ
NPI number
1477801173
Active
Practice location
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Fax (602) 889-5834
Mailing address
PO Box 64642
Phoenix, AZ 85082-4642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1477801173
CJK Health Center LLC's National Provider Identifier is 1477801173, issued on Aug 28, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Avondale, AZ. The record was last updated on Sep 10, 2012.