institution
Country Clinic Pc
Family Nurse Practitioner in Queen Creek, Arizona
NPI 1740561562

Country Clinic Pc is a Family Nurse Practitioner based in Chandler Heights, AZ and is specialized in Family. Country Clinic Pc practices in Queen Creek, AZ. The NPI Number for Country Clinic Pc is 1740561562 and holds a License No. AP2088 (Arizona).

The current practice location address for Country Clinic Pc is 26416 S Mandarin Dr, Queen Creek, AZ and can be reached out via phone at 480-369-0582 and via fax at 480-279-4274. You can also correspond with Country Clinic Pc through the mailing address at PO BOX 9277, CHANDLER HEIGHTS, AZ - 85127-9277 (mailing address contact number: 480-369-0582).

Location: 26416 S Mandarin Dr, Queen Creek, AZ, 85127-9277
institution
Provider Profile Details
NPI Number
1740561562
Provider Name
Country Clinic Pc
Credential
Provider Entity Type
Organization
Address
26416 S Mandarin Dr, Queen Creek, AZ, 85127-9277
Phone Number
480-369-0582
Fax Number
480-279-4274
Provider Enumeration Date
09/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
644363 05 AZ
institution
Provider Business Practice Location Address Details
Address
26416 S Mandarin Dr
City
State
Zip
85142-9411
Phone Number
480-369-0582
Fax Number
480-279-4274
person
Provider Business Mailing Address Details
Address
Po Box 9277
City
State
Zip
85127-9277
Phone Number
480-369-0582
Fax Number
480-279-4274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP2088 (Arizona)
Definition
Definition to come...
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