Camp Verde Family Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP2777 Issued in AZ

Legal business name

CAMP VERDE FAMILY HEALTH LLC

Practice address

460 W Finnie Flats Rd
Camp Verde, AZ 86322-7266

Phone

(928) 639-5555

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Delyte Nasch, FNP-C

Title

Owner

Phone

(928) 639-5555

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elaine A. Nissen, FNP

  • Family Nurse Practitioner
  • Camp Verde, AZ
  • NPI 1538390521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1093908527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3340",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863223340",
            "telephone_number": "928-639-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W FINNIE FLATS RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227266",
            "telephone_number": "928-639-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP VERDE FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "NASCH",
        "authorized_official_first_name": "DELYTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-639-5555",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Brncik Jr.
• Lisa Jo Bruner, ARDMS
• Bernadine Bunt, PHARMD
• Martha Leticia Caballero-Monrreal
• Camp Verde Family Chiropractic & Wellness Center Inc.
• Camp Verde Fire District
• Camp Verde Physical Rehabiltation
• Camp Verde Unified School District #28
• David E Castillo, PT, MPT, AT/L
• Sonia Maria Castrita

• Family Nurse Practitioner in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.