Organization
ADVANCED CLINICAL PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA IZDEBSKI NP-C (OWNER)
(623) 399-8606
Entity
Organization
Contact information
Practice address
20823 N CAVE CREEK RD, SUITE 103, PHOENIX, AZ 85024-4468
(623) 399-8606
(623) 399-9958
Mailing address
9815 E CINNABAR AVE, SCOTTSDALE, AZ 85258-4737
(623) 399-8606
(623) 399-9958
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
RN103493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN103493
LICENSE
AZ
Enumeration date
04/05/2017
Last updated
04/05/2017
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