Sycamore Avenue Medical Center, Pllc

Family Nurse Practitioner · Kingman, AZ

Call (928) 692-1900 Directions

At a glance

975 Sycamore Ave, Kingman, AZ 86409-3548

NPPES record updated Jan 11, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

975 Sycamore Ave
Kingman, AZ 86409-3548

Professional details: NPI, taxonomy & registry record

NPI1245762491

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Mar 28, 2017
Record updated: Jan 11, 2021

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License reported: AP3349 AZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

975 Sycamore Ave
Kingman, AZ 86409-3548

Phone: (928) 692-1900
Fax: (928) 681-1922

Mailing address

975 SYCAMORE AVE

KINGMAN, AZ 864093548

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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