DAN NURSE PRACTITIONER SERVICES, LLC

PAYSON, AZ
NPI1477858801
Entity TypeOrganization
Authorized ContactDEBORAH ANN NICHOLS
Principal Officer
928-595-1176
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ  ap1489)
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
(Licence: AZ  AP1489)
314000000X Skilled Nursing Facility
(Licence: AZ  AP1489)
310400000X Assisted Living Facility
(Licence: AZ  ap1489)
Enumeration Date2011-01-15
Last Update Date2014-02-04
Business Address
DAN NURSE PRACTITIONER SERVICES, LLC
200 W FRONTIER ST SUITE M
PAYSON, AZ 85541-5362
Phone number: 928-595-1176
Mailing Address
DAN NURSE PRACTITIONER SERVICES, LLC
200 W. FRONTIER SUITE M
PAYSON, AZ 85541-7443
Phone number: 928-595-1176