| Premier Health Llc | |
|
22717 S Ellsworth Rd Ste B101 Queen Creek AZ 85142-7572 | |
| (480) 306-5650 | |
| (480) 986-4500 |
| Full Name | Premier Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22717 S Ellsworth Rd Ste B101, Queen Creek, Arizona |
| Authorized Official Name and Position | Brenda Harding (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4803065650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Llc 22717 S Ellsworth Rd Ste B101 Queen Creek AZ 85142-7572 Ph: (480) 306-5650 | Premier Health Llc 22717 S Ellsworth Rd Ste B101 Queen Creek AZ 85142-7572 Ph: (480) 306-5650 |
| NPI Number | 1477305233 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 6507387222 |
|---|---|
| Medicare Enrollment ID | O20250310002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477305233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Brenda L Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194074179 PECOS PAC ID: 7416109665 Enrollment ID: I20121214000301 |
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