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

Prescott Family Practice and Wellness, LLC

Organization Family Nurse Practitioner · NPI 1265958755

Prescott Family Practice and Wellness, LLC is a Family Nurse Practitioner in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
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

1151 W Iron Springs Rd Ste F
Prescott, AZ 86305-1614
Phone: (928) 533-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP7670 (AZ)

Record details

NPI number1265958755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Ten Eyck — Owner · (480) 729-4939
NPI enumeratedAugust 16, 2017
Last updated in NPPESAugust 30, 2017
Mailing address608 Vista Del Cerro St, Prescott, AZ 86301-1059

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