Dan Nurse Practitioner Services, LLC

NPI #1477858801 in Payson, Arizona

Provider Information

NPI Number: 1477858801
Entity Type: Organization
Organization Name: Dan Nurse Practitioner Services, LLC
Primary Specialty: Nurse Practitioner - Primary Care
Enumeration Date: Jan 15, 2011
Last Updated: Feb 4, 2014

Practice Location

Address: 200 W FRONTIER ST
Address 2: SUITE M
City: Payson
State: Arizona
ZIP Code: 85541-5362
Phone: (928) 595-1176

Authorized Official

Name: DEBORAH ANN NICHOLS, FNP
Title: PRINCIPAL OFFICER
Phone: (928) 595-1176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Skilled Nursing Facility	314000000X
Assisted Living Facility	310400000X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X	Primary

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Individual Providers

Provider Name	Specialty	City
Tara Gann, NP	Nurse Practitioner - Primary Care	Payson	AI Deep Dive
MRS. Anaresia Marie Richard, FNP	Nurse Practitioner - Primary Care	Mohave Valley	AI Deep Dive
MS. Agnes Elizabeth Oblas, ANP-C	Nurse Practitioner - Primary Care	Phoenix	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Tara Gann Dnp	Nurse Practitioner - Primary Care	Payson	AI Deep Dive

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