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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY CLUB MEDICAL WEIGHT LOSS & WELLNESS PLLC

Active Organization

COUNTRY CLUB MEDICAL WEIGHT LOSS & WELLNESS PLLC is a Family Nurse Practitioner organization located in MESA, Arizona. NPI 1205616398 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MESA, AZ

Registration Details

NPI Number
1205616398
Provider Type
Organization
NPI Issued
Oct 5, 2023 (2.8514216739568 yrs)
Last Updated
Oct 5, 2023

Practice Information

Address
1855 S COUNTRY CLUB DR STE 111-130
MESA, AZ, 852106037
Browse AZ providers · Browse ZIP 85210
Phone
4808404777
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Organizations in MESA, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.