Matrix Medical Network of Idaho, LLC
Matrix Medical Network of Idaho, LLC provides Family Nurse Practitioner services in Phoenix, Arizona. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4545 E Shea Blvd Ste 175Phoenix, AZ 85028-3074 Not confirmed with CMS for 16 years — call before visiting
Phone: (602) 464-5200
Fax: (480) 907-2108
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1659687812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Young — Practice Owner · (602) 464-5200 |
| NPI enumerated | August 26, 2010 |
| Last updated in NPPES | August 26, 2010 |
| Mailing address | 4545 E Shea Blvd, Suite 175, Phoenix, AZ 85028-3074 |
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