Organization · Type 2 NPI
Idefy Medical Aesthetics LLC
Family Nurse Practitioner · Gilbert, AZ
NPI number
1649796343
Active
Practice location
1324 N Farrell Ct Ste 109
Gilbert, AZ 85233-1945
Mailing address
22620 S 178th Pl
Gilbert, AZ 85298-8934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP10272 (AZ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1649796343
Idefy Medical Aesthetics LLC's National Provider Identifier is 1649796343, issued on Aug 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gilbert, AZ. The record was last updated on Oct 8, 2023.