Organization · Type 2 NPI
Desert Streams Family Practice PLLC
Primary Care Nurse Practitioner · Sonoita, AZ
NPI number
1497210165
Active
Practice location
3123 Highway 83, Suite B
Sonoita, AZ 85637
Fax (520) 226-8634
Mailing address
PO Box 874
Sonoita, AZ 85637-0874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1497210165
Desert Streams Family Practice PLLC's National Provider Identifier is 1497210165, issued on Feb 6, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sonoita, AZ. The record was last updated on Feb 6, 2019.