| Nurse Practitioner Consultants | |
|
4555 E Mayo Blvd Phoenix AZ 85050-6952 | |
| (602) 883-3647 | |
| Not Available |
| Full Name | Nurse Practitioner Consultants |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4555 E Mayo Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Kelly L Schultz (OWNER) |
| Authorized Official Contact | 4808833647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioner Consultants 4022 E Greenway Road Suite 11-180 Phoenix AZ 85032-5245 Ph: (866) 263-3820 | Nurse Practitioner Consultants 4555 E Mayo Blvd Phoenix AZ 85050-6952 Ph: (602) 883-3647 |
| NPI Number | 1942776646 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 8820342306 |
|---|---|
| Medicare Enrollment ID | O20181120000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942776646 | NPI | - | NPPES |
| Provider Name | Deryl R Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811923758 PECOS PAC ID: 7719927953 Enrollment ID: I20050509001046 |
| Provider Name | Kelly Lynn Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023499860 PECOS PAC ID: 0244544781 Enrollment ID: I20150728006530 |
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