Provider Demographics
NPI:1093524852
Name:ALPINE MEADOWS NP SERVICES LLC
Entity type:Organization
Organization Name:ALPINE MEADOWS NP SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:TURNEY-SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:928-961-1554
Mailing Address - Street 1:850 S VERDE LN
Mailing Address - Street 2:
Mailing Address - City:GLOBE
Mailing Address - State:AZ
Mailing Address - Zip Code:85501-2008
Mailing Address - Country:US
Mailing Address - Phone:928-961-1554
Mailing Address - Fax:928-793-3926
Practice Address - Street 1:2123 SUNSET PT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:AZ
Practice Address - Zip Code:85539-1347
Practice Address - Country:US
Practice Address - Phone:928-961-1554
Practice Address - Fax:928-793-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty