Provider Demographics
NPI:1902214679
Name:A BETTER CHOICE FAMILY PRACTICE, LLC
Entity Type:Organization
Organization Name:A BETTER CHOICE FAMILY PRACTICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:970-396-4545
Mailing Address - Street 1:85 W COMBS RD
Mailing Address - Street 2:SUITE 101-196
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-9105
Mailing Address - Country:US
Mailing Address - Phone:480-986-4300
Mailing Address - Fax:480-986-4300
Practice Address - Street 1:20851 E RITTENHOUSE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-4493
Practice Address - Country:US
Practice Address - Phone:480-986-4300
Practice Address - Fax:480-986-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty