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

Mountainside Medical Clinic

Organization Family Nurse Practitioner · NPI 1346800646

Mountainside Medical Clinic is a Family Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4139 W Bell Rd Ste 8&9
Phoenix, AZ 85053-2753
Phone: (507) 319-7780
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1346800646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liban Osman — Family Nurse Practitioner · (480) 687-7190
NPI enumeratedJune 18, 2019
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020
Mailing addressPo Box 9365, Surprise, AZ 85374-0139

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