MEDICARE: EMPIRE ADVANCED MEDICAL SERVICES 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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1518817089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPIRE ADVANCED MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	11833 W NADINE WAY
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-4522
Country	:	US
Telephone Number	:	760-524-6775
Fax Number	:

Provider Business Practice Location Address
First Line	:	11833 W NADINE WAY
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-4522
Country	:	US
Telephone Number	:	760-524-6775
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NADINE BROOKS
Credential	:	FNP
Telephone Number	:	760-524-6775

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	06/01/2026

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