Nurse Practitioner, Family
AZ AT HOME INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548643836 · enumerated 2015-07-04 · record updated 2022-02-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: THOMAS GREEN FNP-BC, CEO · (480) 275-2022
Addresses and phones
- Practice location 12630 N 103RD AVE STE 142, SUN CITY, AZ, 85351-3463 (480) 275-2022 Fax (888) 551-6092 Google Maps Apple Maps OpenStreetMap
- Mailing address 12630 N 103RD AVE STE 142, SUN CITY, AZ, 85351-3463 (480) 275-2022 Fax (888) 551-6092 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License RN078764 AZ
In this directory
Locations and evidence
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Practice location
SUN CITY, AZ, 853513463
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.