Organization
COMMUNITY CARE HEALTH NETWORK LLC
Active
Other names
Matrix Medical Network
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PETERSON (MANAGER)
(877) 564-3627
Entity
Organization
Contact information
Practice address
1000 N WEST ST STE 1200, WILMINGTON, DE 19801-1058
(877) 564-3627
Mailing address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(877) 564-3627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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