Healthcare Provider Details

I. General information

NPI: 1730042227
Provider Name (Legal Business Name): SURPRISE WALK-IN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12133 W BELL RD STE 101
SURPRISE AZ
85378-9407
US

IV. Provider business mailing address

12133 W BELL RD STE 101
SURPRISE AZ
85378-9407
US

V. Phone/Fax

Practice location:
  • Phone: 623-244-8797
  • Fax:
Mailing address:
  • Phone: 623-244-8797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW GILBERT HARDING
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 623-244-8797