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Trent W Edstrom, NURSEPRACTITIONER
Primary Care Nurse Practitioner in Phoenix, Arizona
NPI 1558957811

Trent W Edstrom is a Primary Care Nurse Practitioner based in Glendale, AZ and is specialized in Primary Care. Trent W Edstrom practices in Phoenix, AZ and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Trent W Edstrom is 1558957811 and holds a License No. 233523 (Arizona).

The current practice location address for Trent W Edstrom is 4901 W Mcdowell Rd Ste 110, Phoenix, AZ and can be reached out via phone at 623-849-9088 and via fax at 623-849-9065.

Location: 4901 W Mcdowell Rd Ste 110, Phoenix, AZ, 85305-2569
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Provider Profile Details
NPI Number
1558957811
Provider Name
Trent W Edstrom
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
4901 W Mcdowell Rd Ste 110, Phoenix, AZ, 85305-2569
Phone Number
623-849-9088
Fax Number
623-849-9065
Provider Enumeration Date
12/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
087425 05 AZ
institution
Provider Business Practice Location Address Details
Address
4901 W Mcdowell Rd Ste 110
City
State
Zip
85035-4160
Phone Number
623-849-9088
Fax Number
623-849-9065
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Provider Business Mailing Address Details
Address
4901 W Mcdowell Rd Ste 110
City
State
Zip
85035-4160
Phone Number
623-849-9088
Fax Number
623-849-9065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
233523 (Arizona)
Definition
Definition to come...
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