PREMIER HEALTHCARE OF SHENANDOAH P.C. NPI 1003308149

NPI Information

NPI: 1003308149
Provider Name: PREMIER HEALTHCARE OF SHENANDOAH, P.C.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
813 CHURCH ST
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-5954
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PREMIER HEALTHCARE OF SHENANDOAH, P.C. is a family nurse practitioner in Shenandoah, IA. PREMIER HEALTHCARE OF SHENANDOAH, P.C. NPI is 1003308149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

813 CHURCH ST
SHENANDOAH, IA
ZIP 51601-301
Phone: (712) 246-5954
Fax: (712) 246-3269

The provider's authorized official is Jeffrey P Mccoy .
The authorized official title is President/owner and has the following contact phone number (712) 246-5954.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 8/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family		IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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