Advanced Clinical Practitioners, LLC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

RN103493 Issued in AZ

Legal business name

ADVANCED CLINICAL PRACTITIONERS, LLC

Practice address

20823 N Cave Creek Rd
Suite 103
Phoenix, AZ 85024-4468

Phone

(623) 399-8606

Fax

(623) 399-9958

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By 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

Maria Izdebski, NP-CNPI 1700196250

Title

Owner

Phone

(623) 399-8606

Specialties & licenses 1

Addresses

Locations

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.

• Maria Izdebski

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1700196250
  NPD (past) Authorized official

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1578096798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 E CINNABAR AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584737",
            "telephone_number": "623-399-8606",
            "fax_number": "623-399-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 N CAVE CREEK RD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244468",
            "telephone_number": "623-399-8606",
            "fax_number": "623-399-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "IZDEBSKI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-399-8606",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AZ",
            "license": "RN103493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Cardiology Diagnostic Centers LLC
• Advanced Care Gastroenterology, P.C
• Advanced Care Solution
• Advanced Chiropractic and Allergy Relief
• Advanced Clinical Laboratories, LLC
• Advanced Comprehensive Home Health Care LLC
• Advanced Comprehensive Palliative and Hospice LLC
• Advanced Dental Group, Inc.
• Advanced Dental Health P.C.
• Advanced Diagnostic Center, Inc.

• Family Health Clinical Nurse Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.