Healthcare Provider Details
I. General information
NPI: 1477094662
Provider Name (Legal Business Name): ONE TO ONE PRIMARY CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7100 E CAVE CREEK RD SUITE 115
CAVE CREEK AZ
85331-4305
US
IV. Provider business mailing address
PO BOX 25626
SCOTTSDALE AZ
85255-0110
US
V. Phone/Fax
- Phone: 877-677-7744
- Fax: 877-677-7744
- Phone: 877-677-7744
- Fax: 877-677-7744
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | AP1895 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP1895 |
| License Number State | AZ |
VIII. Authorized Official
Name: DR.
KIRSTEN
TURKINGTON
Title or Position: FAMILY NURSE PRACTITIONER/OWNER
Credential: DNP, APRN, FNP-C
Phone: 877-677-7744