Prescott Family Practice and Wellness, LLC

NPI #1265958755 in Prescott, Arizona

Provider Information

NPI Number
1265958755
Entity Type
Organization
Organization Name
Prescott Family Practice and Wellness, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 16, 2017
Last Updated
Aug 30, 2017

Practice Location

Address
1151 W IRON SPRINGS RD STE F
State
Arizona
ZIP Code
86305-1614
Phone
(928) 533-1136

Authorized Official

Name
MS. STEPHANIE DIANE TEN EYCK, NP
Title
OWNER
Phone
(480) 729-4939

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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