Organization
GRAND WEST FAMILY PRACTICE AND WELLNESS LLC
Active
Other names
GRAND WEST FAMILY PRACTICE AND WELLNESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY TELLMAN FNP-C (OWNER/MANAGER)
(623) 824-5017
Entity
Organization
Contact information
Practice address
13000 N 103RD AVE STE 77, SUN CITY, AZ 85351-3057
(480) 284-5650
(480) 284-6431
Mailing address
13000 N 103RD AVE STE 77, SUN CITY, AZ 85351-3057
(480) 284-5650
(480) 284-6431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
02/06/2024
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