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

Big Park Family Practice PC

Organization Family Nurse Practitioner · NPI 1902000763

Big Park Family Practice PC is a Family Nurse Practitioner in Sedona, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

61 Bell Rock Plz
Sedona, AZ 86351-8810
Phone: (928) 300-4783
Fax: (928) 634-0337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP2648 (AZ)

Record details

NPI number1902000763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Montgomery — Owner · (928) 300-4783
NPI enumeratedJune 13, 2007
Last updated in NPPESNovember 7, 2007
Mailing addressPo Box 21540, Sedona, AZ 86341-1540

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