DAN NURSE PRACTITIONER SERVICES LLC NPI 1477858801

NPI Information

NPI: 1477858801
Provider Name: DAN NURSE PRACTITIONER SERVICES, LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
200 W FRONTIER ST
SUITE M
PAYSON, AZ
ZIP 85541
Phone: (928) 595-1176
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DAN NURSE PRACTITIONER SERVICES, LLC is a primary care nurse practitioner in Payson, AZ. DAN NURSE PRACTITIONER SERVICES, LLC NPI is 1477858801. The provider is registered as an organization entity type.

The provider's business location address is:

200 W FRONTIER ST
SUITE M
PAYSON, AZ
ZIP 85541-362
Phone: (928) 595-1176
Fax: (928) 478-6206

The provider's authorized official is Deborah Ann Nichols .
The authorized official title is Principal Officer and has the following contact phone number (928) 595-1176.

The enumeration date for this NPI number is 1/15/2011 and was last updated on 2/4/2014.

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	261QP2300X	Clinic/Center	Primary Care	AP1489	ARIZONA	No
2	314000000X	Skilled Nursing Facility		AP1489	ARIZONA	No
3	310400000X	Assisted Living Facility		AP1489	ARIZONA	No
4	363LP2300X	Nurse Practitioner	Primary Care	AP1489	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P62785	MEDICARE UPIN
2	70871	OTHER	ARIZONA	MEDICARE ID NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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