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

Individual provider Family Nurse Practitioner · NPI 1033661244

Phillip Prusinski, FNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Pueblo Family Physicians Ltd, an 8-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4350 N 19th Ave #6
Phoenix, AZ 85015-4602
Phone: (480) 607-1124
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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 AP9609 (AZ)

Record details

NPI number1033661244
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 4, 2016
Last updated in NPPESNovember 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pueblo Family Physicians Ltd — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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