Organization
MINGUS MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN PIERCE FNP (PROVIDER)
(928) 649-8250
Entity
Organization
Contact information
Practice address
813 COVE PKWY, 101, COTTONWOOD, AZ 86326-4663
(928) 649-8250
(928) 649-8255
Mailing address
214 S MAIN ST, COTTONWOOD, AZ 86326-3907
(928) 649-8250
(928) 649-8255
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP2192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968365
—
AZ
Enumeration date
10/19/2012
Last updated
08/28/2019
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