Organization · Type 2 NPI

Prime Medical Clinic, PLC

Family Nurse Practitioner · Phoenix, AZ

NPI number 1679832729 Active

Practice location

3104 E Indian School Rd, Suite 110
Phoenix, AZ 85016-6889

Fax (602) 957-2184

Mailing address

5150 N 16th St, Suite B232
Phoenix, AZ 85016-3925

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP1483 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1679832729

Prime Medical Clinic, PLC's National Provider Identifier is 1679832729, issued on May 10, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 10, 2014.