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Mr. Clarence Jason Vastine, FNP-C
Family Nurse Practitioner in Goodyear, Arizona
NPI 1902121379

Clarence Jason Vastine is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Clarence Jason Vastine practices in Goodyear, AZ and has the professional credentials of FNP-C. The NPI Number for Clarence Jason Vastine is 1902121379 and holds a License No. AP3558 (Arizona).

The current practice location address for Clarence Jason Vastine is 13555 W Mcdowell Rd Ste 103, Goodyear, AZ and can be reached out via phone at 623-932-1157 and via fax at 623-935-1045.

Location: 13555 W Mcdowell Rd Ste 103, Goodyear, AZ, 85032-2171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902121379
Provider Name
Clarence Jason Vastine
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
13555 W Mcdowell Rd Ste 103, Goodyear, AZ, 85032-2171
Phone Number
623-932-1157
Fax Number
623-935-1045
Provider Enumeration Date
03/29/2010
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
510044 05 AZ
Z136913 01 AZ MEDICARE
institution
Provider Business Practice Location Address Details
Address
13555 W Mcdowell Rd Ste 103
City
Goodyear
State
Arizona
Zip
85395-2625
Phone Number
623-932-1157
Fax Number
623-935-1045
person
Provider Business Mailing Address Details
Address
13555 W Mcdowell Rd Ste 103
City
Goodyear
State
Arizona
Zip
85395-2625
Phone Number
623-932-1157
Fax Number
623-935-1045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP3558 (Arizona)
Definition
Definition to come...
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