Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Arizona Surgical Assisting LLC

Organization Nurse Practitioner · NPI 1568086437

Northern Arizona Surgical Assisting LLC provides Nurse Practitioner services in Flagstaff, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4209 W Indigo Way
Flagstaff, AZ 86001-8228
Phone: (760) 731-0313
Fax: (951) 587-8277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1568086437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Diefenbach — Owner · (214) 227-2457
NPI enumeratedJune 5, 2020
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address4209 W Indigo Way, Flagstaff, AZ 86001-8228

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