Organization
CLAUSSEN COLLABORATIVE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER JAMES CLAUSSEN FNP, PMHNP (PRESIDENT)
(928) 499-0787
Entity
Organization
Contact information
Practice address
3165 STILLWATER DR, PRESCOTT, AZ 86305-7173
(928) 277-0875
Mailing address
2020 SUMMER VIEW DR, PRESCOTT, AZ 86301-8129
(928) 499-0787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/14/2023
Last updated
02/05/2024
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