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Scottsdale Internal Medicine PLLC — NPI 1790050409, Phoenix, AZ | NPI Central

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NPI 1790050409

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Scottsdale Internal Medicine PLLC

NPI 1790050409 · Adult Health Clinical Nurse Specialist · Phoenix, AZ

Provider details

NPI number: 1790050409
Entity type: Organization
Primary specialty: Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Charles Evans, Owner(602) 292-0552

Specialties & taxonomies

Adult Health Clinical Nurse SpecialistPrimary364SA2200X
Physician Assistants & Advanced Practice Nursing Providers
Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities

Practice location

4643 N 12th St Ste 101

Phoenix, AZ 85014-4083

Phone: (602) 812-3789

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

4643 N 12th St Ste 101

Phoenix, AZ 85014-4083

Additional practice locations (1)

13840 N Northsight Blvd Ste 121
Scottsdale, AZ 85260
Phone: (480) 588-6924

Registry dates

Enumerated: 2012-03-13
Last updated: 2024-02-29
Certified: 2024-02-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.