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

Northern Arizona Surgical Assisting LLC

Organization Nurse Practitioner · NPI 1568086437

Northern Arizona Surgical Assisting LLC is a Nurse Practitioner in Flagstaff, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4209 W Indigo Way
Flagstaff, AZ 86001-8228
Phone: (760) 731-0313
Fax: (951) 587-8277
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1568086437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Diefenbach — Owner · (214) 227-2457
NPI enumeratedJune 5, 2020
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address4209 W Indigo Way, Flagstaff, AZ 86001-8228

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