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Contact Information

AMBEST FAMILY HEALTH CLINICS, PLLC
4841 S MESA VILLAS DR APT 3
FORT MOHAVE, AZ86426-6436
 Phone: 928-577-7368
 Fax: 928-299-3373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for AMBEST FAMILY HEALTH CLINICS PLLC · (Female)

NPI Number 1063068898
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2019
Last updated 03/13/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 576901
  • AZ Other P22410618 CORPORATION ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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