Organization
ADVANCED PRACTICE NURSE SOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN MILLER SARHAN APRN (CEO)
(801) 550-6059
Entity
Organization
Contact information
Practice address
12772 N 58TH AVE, GLENDALE, AZ 85304-1878
(801) 550-6059
Mailing address
5830 W THUNDERBIRD RD STE B8118, GLENDALE, AZ 85306-4654
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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