Organization
JOHN C. LINCOLN NORTH MOUNTAIN PROFESSIONALS, LLC
Active
Other names
Comprehensive Care Center - North Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN ANSPACH (SENIOR VICE PRESIDENT)
(623) 434-6200
Entity
Organization
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-5445
(623) 879-5410
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
03/31/2017
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