Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Practice Nurse Source, LLC

Organization Adult Medicine Physician · NPI 1790536654

Advanced Practice Nurse Source, LLC is an Adult Medicine Physician in Glendale, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12772 N 58th Ave
Glendale, AZ 85304-1878
Phone: (801) 550-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1790536654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Sarhan — Ceo · (801) 550-6059
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address5830 W Thunderbird Rd Ste B8118, Glendale, AZ 85306-4654

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