Provider Type Icon

UNTIED OF NORTHERN ARIZONA NPI 1487411641


NPI Information

NPI: 1487411641
Provider Name: UNTIED OF NORTHERN ARIZONA

Doing Business As: UNTIED OF NORTHERN ARIZONA

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1672 OAKLAWN DR
PRESCOTT, AZ
ZIP 86305
Phone: (928) 257-1224
Get Directions

UNTIED OF NORTHERN ARIZONA is a pediatrics in Prescott, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. UNTIED OF NORTHERN ARIZONA NPI is 1487411641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Untied Of Northern Arizona.

The provider's business location address is:

1672 OAKLAWN DR
PRESCOTT, AZ
ZIP 86305-106
Phone: (928) 257-1224
Fax: (928) 264-5299

The provider's authorized official is Shelly Klein .
The authorized official title is Owner/ Primary Physician and has the following contact phone number (928) 257-1224.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 4/3/2024.


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
1208000000XPediatricsYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.