Organization
ADVANTAGE PRIMARY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE PENE (MANAGER)
(928) 800-2295
Entity
Organization
Contact information
Practice address
6546 E 2ND ST STE C, PRESCOTT VALLEY, AZ 86314-3540
(928) 327-7528
(928) 327-7482
Mailing address
6546 E 2ND ST STE C, PRESCOTT VALLEY, AZ 86314-3540
(928) 327-7528
(928) 327-7482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
05/02/2026
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