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NPI Code Detail

MEDICARE: PHOENIX FAMILY CARE LLC

MEDICARE: PHOENIX FAMILY CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1447112321
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIX FAMILY CARE LLC
Provider Business Mailing Address
First Line : 1717 W NORTHERN AVE STE 200B
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-5469
Country : US
Telephone Number : 919-282-4001
Fax Number :
Provider Business Practice Location Address
First Line : 1717 W NORTHERN AVE STE 200B
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-5469
Country : US
Telephone Number : 919-282-4001
Fax Number :
Authorized Official
Title or Position : MEDICAL PROVIDER
Name : JOSEPH GIRAMATA
Credential : DNP, APRN, FNP-C
Telephone Number : 919-282-4001
Provider Enumeration Date : 11/29/2025
Last Update Date : 05/07/2026

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Directions to “PHOENIX FAMILY CARE LLC ” Practice Location

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