DAN NURSE PRACTITIONER SERVICES, LLC
Nursing at Frontier St, Payson, AZ

License number
Arizona AP1489
Category
Ambulatory Health
Type
Primary Care
License number
Arizona AP1489
Category
Nursing
Type
Assisted Living Facility
License number
Arizona AP1489
Category
Nursing
Type
Skilled Nursing Facility
License number
Arizona AP1489
Category
Nursing
Type
Primary Care
Owner
Name: DEBORAH ANN NICHOLS FNP
Title: PRINCIPAL OFFICER
Phone: (928) 595-1176
Address
Address
200 W Frontier St SUITE M, Payson, AZ 85541
National Provider ID: 1477858801
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAN NURSE PRACTITIONER SERVICES, LLC

Payson, AZ

Industry:
Skilled Nursing Care Facilities, Nsk, Skilled Nursing Care Facility
Registration:
Nov 7, 2006
Addresses:
Whispering Pne, Payson, AZ 85541 (Physical)
10995 N Houston Mesa Rd, Payson, AZ 85541
State ID:
L-1300483-1
Expiration:
PERPETUAL
Member, Member , Nurse Practitioner:
Deborah Ann Nichols (Member, Member , Nurse Practitioner), Hc7 BOX 310, Payson, AZ 85541 (Physical)
Agent:
Richard A Bookspan Pc,1110 E Missouri #850, Phoenix, AZ 85014 (Physical)

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