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

Country Clinic PC

Organization Family Nurse Practitioner · NPI 1740561562

Country Clinic PC is a Family Nurse Practitioner in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
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

26416 S Mandarin Dr
Queen Creek, AZ 85142-9411
Phone: (480) 369-0582
Fax: (480) 279-4274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP2088 (AZ)

Record details

NPI number1740561562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Hakeman — President · (480) 369-0582
NPI enumeratedSeptember 7, 2011
Last updated in NPPESMarch 14, 2012
Mailing addressPo Box 9277, Chandler Heights, AZ 85127-9277

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