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

Organization Acute Care Nurse Practitioner · NPI 1376078303

Flagstaff Advanced Surgical Assistants PLLC is an Acute Care Nurse Practitioner in Flagstaff, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
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

9405 N Bryant Rd
Flagstaff, AZ 86004-1247
Phone: (208) 818-6181
Fax: (928) 255-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2467 S Cliffview St, Flagstaff, AZ 86001-2989 — (208) 818-6181

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP8631 (AZ)

Record details

NPI number1376078303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Moss — Owner · (208) 818-6181
NPI enumeratedApril 27, 2017
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address9405 N Bryant Rd, Flagstaff, AZ 86004-1247

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