Organization · Type 2 NPI

Modern Healthcare, Inc

Family Nurse Practitioner · Phoenix, AZ

NPI number 1699135483 Active

Practice location

3201 W Peoria Ave Ste A105
Phoenix, AZ 85029-4609

Fax (602) 699-6354

Mailing address

2942 N 24th St Ste 114
Phoenix, AZ 85016-7849

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Chiropractor 111NR0400X7417 (AZ)
Addiction (Substance Use Disorder) Registered Nurse 163WA0400XRN198428 (AZ)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X41767 (CA)
Family Nurse Practitioner Primary 363LF0000XAP8585 (AZ)
Primary Care Nurse Practitioner 363LP2300XNone listed

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1699135483

Modern Healthcare, Inc's National Provider Identifier is 1699135483, issued on Mar 7, 2016. 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 5, 2019.