Organization
PRESTIGE PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDEE J EISENHART (OWNER)
(480) 815-7074
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD STE 102, QUEEN CREEK, AZ 85142-5993
(480) 815-7074
Mailing address
PO BOX 1009, QUEEN CREEK, AZ 85142-1821
(480) 815-7074
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
04/05/2022
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