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

Your Nurse Practitioner LLC

Organization Gerontology Nurse Practitioner · NPI 1346504818

Your Nurse Practitioner LLC is a Gerontology Nurse Practitioner in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
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

6261 Boothwyn St
Prescott Valley, AZ 86314-6726
Phone: (928) 775-9057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN039594 (AZ)

Record details

NPI number1346504818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Nawrocki — Jurse Practitioner · (928) 775-9057
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 29, 2012
Mailing address6261boothwyn Street, Prescott Valley, AZ 86314-6726

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