YAVAPAI HEALTHCARE GROUP LLC NPI 1619487675

NPI Information

NPI: 1619487675
Provider Name: YAVAPAI HEALTHCARE GROUP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
999 DIVISION STREET
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-9600
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YAVAPAI HEALTHCARE GROUP LLC is a family nurse practitioner in Prescott, AZ. YAVAPAI HEALTHCARE GROUP LLC NPI is 1619487675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

999 DIVISION STREET
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-9600
Fax: (928) 777-9797

The provider's authorized official is Michael O'neil .
The authorized official title is Sole Mbr/ceo and has the following contact phone number (631) 352-0650.

The enumeration date for this NPI number is 10/4/2017 and was last updated on 10/4/2017.

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			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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