Healthcare Provider Details

I. General information

NPI: 1336651496
Provider Name (Legal Business Name): ARIZONA FAMILY PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2017
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1847 E SOUTHERN AVE STE 1
TEMPE AZ
85282-5881
US

IV. Provider business mailing address

1847 E SOUTHERN AVE STE 1
TEMPE AZ
85282-5881
US

V. Phone/Fax

Practice location:
  • Phone: 480-897-7070
  • Fax: 844-563-8236
Mailing address:
  • Phone: 480-897-7070
  • Fax: 844-563-8236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. LOUISA ARGUELLO
Title or Position: PRACTICE ADMIN
Credential:
Phone: 480-897-7070