Organization · Type 2 NPI

Desert Life Primary Care LLC

Nurse Practitioner · Mesa, AZ

NPI number 1649943655 Active

Practice location

3035 S Ellsworth Rd Ste 121
Mesa, AZ 85212-2137

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
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 1649943655

Desert Life Primary Care LLC's National Provider Identifier is 1649943655, issued on Jul 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 17, 2021.