DAISY FAMILY HEALTH CARE
NPI 1750157483
Nurse Practitioner - Primary Care in Glendale, AZ

Q: What is Daisy Family Health Care's NPI number?

The NPI number for Daisy Family Health Care is 1750157483. It was assigned to this organization in the NPPES registry on December 4, 2023.

Q: What is Daisy Family Health Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since December 04, 2023CLIA 03D2315374 · Waiver

4494 W PEORIA AVE STE 115A, GLENDALE, AZ 85302(602) 344-9737(602) 344-9737 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Daisy Family Health Care NPPES

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

DAISY FAMILY HEALTH CARE (NPI 1750157483) is a healthcare organization registered as a primary care in Glendale, Arizona and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through December 11, 2026, maintains a secondary practice location in Goodyear, and lists Angela Davis, Provider, as its authorized official.

NPPES Registry Identity

NPI1750157483

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameDAISY FAMILY HEALTH CARE

Location Address4494 W PEORIA AVE STE 115AGlendale, AZ 85302-2020

Mailing Address4494 W Peoria Ave Ste 115aGlendale, AZ 85302-2020 · (602) 344-9737 · Fax (602) 344-9737

Phone(602) 344-9737

Fax(602) 344-9737

Organization SubpartNo

Authorized OfficialAngela DavisProvider · (602) 344-9737

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 4, 2023

✔ NPI 1750157483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

4494 W PEORIA AVE STE 115A, Glendale, AZ 85302

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Secondary Practice Location 1

Location 115655 W Roosevelt St Ste 214Goodyear, AZ 85338-9306 · Phone (602) 344-9737 · Fax (602) 344-9737

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2315374

Daisy Family Health Care · Avondale, AZ

Active · expires Dec 11, 2026

CLIA Number03D2315374

Laboratory TypePractitioner Other

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorJohnnie Taylor

Laboratory Phone(602) 344-9737

Laboratory LocationDaisy Family Health Care13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

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