| Goodyear Family Nurse Practice Llc | |
|
12725 W Indian School Rd Ste E101 Avondale AZ 85392-9525 | |
| (623) 471-9043 | |
| Not Available |
| Full Name | Goodyear Family Nurse Practice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12725 W Indian School Rd Ste E101, Avondale, Arizona |
| Authorized Official Name and Position | Kesasi Marsh (OWNER) |
| Authorized Official Contact | 6025415790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodyear Family Nurse Practice Llc 12725 W Indian School Rd # 101l-5 Avondale AZ 85392-9520 Ph: (623) 471-9049 | Goodyear Family Nurse Practice Llc 12725 W Indian School Rd Ste E101 Avondale AZ 85392-9525 Ph: (623) 471-9043 |
| NPI Number | 1619740685 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619740685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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