Big Park Family Practice PC
Organization Active NPI Family Nurse Practitioner · Sedona, AZ
NPI 1902000763 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1902000763
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP2648 (AZ)
- Legal business name
- BIG PARK FAMILY PRACTICE PC
- Practice address
- 61 Bell Rock PLZ
Sedona, AZ 86351-8810 - Phone
- (928) 300-4783
- Fax
- (928) 634-0337
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Ty Montgomery, NP
- Title
- Owner
- Phone
- (928) 300-4783
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | AP2648 | AZ | Yes |
Addresses
Primary practice location
61 Bell Rock PLZ
Sedona, AZ 86351-8810
Mailing address
PO Box 21540
Sedona, AZ 86341-1540
Phone (928) 300-4783
Other providers in Sedona, AZ
- David M Becket
- Ken Beller
- Daniel Bergher
- Robert A Berry
- David C Beyer
- Big Park Pharmacy LLC
- David Hared Bill
- BK Red Mountain, LLC.
- Sarah Blanton
- Megan Brooking Booth
All providers in Sedona, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.