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PRESCOTT FAMILY PRACTICE AND WELLNESS, LLC
NPI 1265958755
Nurse Practitioner - Family in Prescott, AZ

Active since August 16, 2017
1151 W IRON SPRINGS RD STE F, PRESCOTT, AZ 86305(928) 533-1136 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2017, Aug 16, 2017 (2 updates tracked since 2017).

About Prescott Family Practice And Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESCOTT FAMILY PRACTICE AND WELLNESS, LLC (NPI 1265958755) is a healthcare organization registered as a family in Prescott, Arizona and active in the NPI registry since August 2017. The organization lists Stephanie Diane Ten Eyck, Owner, as its authorized official.

NPPES Registry Identity

NPI1265958755
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRESCOTT FAMILY PRACTICE AND WELLNESS, LLC
Location Address1151 W IRON SPRINGS RD STE FPrescott, AZ 86305-1614
Mailing Address608 Vista Del Cerro StPrescott, AZ 86301-1059 · (480) 729-4939
Phone(928) 533-1136
Organization SubpartNo
Authorized OfficialStephanie Diane Ten EyckOwner · (480) 729-4939
Enumeration DateAugust 16, 2017
Last NPPES UpdateAugust 30, 20172 updates tracked since enumeration
✔ NPI 1265958755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP7670
1151 W IRON SPRINGS RD STE F, Prescott, AZ 86305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SARAH BETH CLAUSSEN FNP-C
Nurse Practitioner (Family)
1151 W IRON SPRINGS RD STE F
PRESCOTT, AZ 86305
Yavapai County (928) 445-0160
AMANDA MARIE WILSON FNP-C
Nurse Practitioner (Family)
1151 W IRON SPRINGS RD STE F
PRESCOTT, AZ 86305
Yavapai County (928) 445-8160
MRS. CHRISTINA ELLEN STERNESKY APN
Nurse Practitioner (Family)
1151 W IRON SPRINGS RD STE F
PRESCOTT, AZ 86305
Yavapai County (928) 612-2368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prescott Family Practice And Wellness, LLC's NPI number?

The NPI number for Prescott Family Practice And Wellness, LLC is 1265958755. It was assigned to this organization in the NPPES registry on August 16, 2017.

Where is Prescott Family Practice And Wellness, LLC located?

Prescott Family Practice And Wellness, LLC is located at 1151 W Iron Springs Rd Ste F, Prescott, AZ 86305. The listed phone number is (928) 533-1136.

What is Prescott Family Practice And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Prescott Family Practice And Wellness, LLC was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.