Provider Demographics
NPI:1760097570
Name:PARTLOW, JUSTIN THOMAS (AGACNP-BC MSN)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:THOMAS
Last Name:PARTLOW
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Gender:M
Credentials:AGACNP-BC MSN
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Mailing Address - Street 1:4530 E MUIRWOOD DR STE 105
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7693
Mailing Address - Country:US
Mailing Address - Phone:602-961-2307
Mailing Address - Fax:602-961-0419
Practice Address - Street 1:4530 E MUIRWOOD DR STE 105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7693
Practice Address - Country:US
Practice Address - Phone:480-961-2307
Practice Address - Fax:480-961-0419
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2024-05-10
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Provider Licenses
StateLicense IDTaxonomies
AZ247337363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care