Organization · Type 2 NPI
Quail Ridge Medical LLC
Family Nurse Practitioner · Kingman, AZ
NPI number
1902270424
Active
Practice location
2331 Hualapai Mountain Rd, Suite A
Kingman, AZ 86401-6207
Fax (928) 529-5089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1902270424
Quail Ridge Medical LLC's National Provider Identifier is 1902270424, issued on Nov 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingman, AZ. The record was last updated on Jul 15, 2016.