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

Family Nurse Practice PLLC

Organization Community Health Clinic/Center · NPI 1619606506

Family Nurse Practice PLLC is a Community Health Clinic/Center in Mesa, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
8
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1727 W Emelita Ave Apt 2104
Mesa, AZ 85202-3168
Phone: (480) 553-1547
Fax: (480) 615-9039
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Community Health Clinic/Center Taxonomy 261QC1500X
Corporate Health Clinic/Center Taxonomy 261QC1800X
Health Service Clinic/Center Taxonomy 261QH0100X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Rural Health Clinic/Center Taxonomy 261QR1300X
Point of Service Taxonomy 305S00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1619606506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Rayburn — Owner · (480) 553-1547
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address1727 W Emelita Ave Apt 2104, Mesa, AZ 85202-3168

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