MEDICARE: JOSHUA LEE PRICE F.N.P.

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	226379	AZ
3	363LF0000X	Family Nurse Practitioner	226379	AZ

General Provider Information

NPI Number	:	1386106391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA LEE PRICE F.N.P.

Provider Business Mailing Address
First Line	:	708 S COEUR D'ALENE LN
Second Line	:	SUITE C
City	:	PAYSON
State	:	AZ
Zip	:	85541-5662
Country	:	US
Telephone Number	:	928-474-9382
Fax Number	:	877-673-1780

Provider Business Practice Location Address
First Line	:	708 S COEUR D'ALENE LN
Second Line	:	SUITE C
City	:	PAYSON
State	:	AZ
Zip	:	85541-5662
Country	:	US
Telephone Number	:	928-474-9382
Fax Number	:	877-673-1780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	05/15/2026

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