VIRGINIA PRENDERGAST LLC NPI 1295111987

NPI Information

NPI: 1295111987
Provider Name: VIRGINIA PRENDERGAST LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1424 E MARSHALL AVE
PHOENIX, AZ
ZIP 85014
Phone: (480) 220-4688
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VIRGINIA PRENDERGAST LLC is an adult health nurse practitioner in Phoenix, AZ. VIRGINIA PRENDERGAST LLC NPI is 1295111987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1424 E MARSHALL AVE
PHOENIX, AZ
ZIP 85014-358
Phone: (480) 220-4688
Fax: (602) 406-4969

The provider's authorized official is Virginia Prendergast .
The authorized official title is Director and has the following contact phone number (480) 220-4688.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 8/4/2015.

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	363LA2200X	Nurse Practitioner	Adult Health	RN039088	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: 5/5/2024

NPI Synchronization or Removal

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