PRESCOTT FAMILY PRACTICE AND WELLNESS LLC NPI 1265958755

NPI Information

NPI: 1265958755
Provider Name: PRESCOTT FAMILY PRACTICE AND WELLNESS, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1151 W IRON SPRINGS RD STE F
PRESCOTT, AZ
ZIP 86305
Phone: (928) 533-1136
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PRESCOTT FAMILY PRACTICE AND WELLNESS, LLC is a family nurse practitioner in Prescott, AZ. PRESCOTT FAMILY PRACTICE AND WELLNESS, LLC NPI is 1265958755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1151 W IRON SPRINGS RD STE F
PRESCOTT, AZ
ZIP 86305-614
Phone: (928) 533-1136

The provider's authorized official is Stephanie Diane Ten Eyck .
The authorized official title is Owner and has the following contact phone number (480) 729-4939.

The enumeration date for this NPI number is 8/16/2017 and was last updated on 8/30/2017.

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	AP7670	ARIZONA	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: 11/14/2023

NPI Synchronization or Removal

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