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THE WEEKEND CLINIC PLC NPI 1669902755


NPI Information

NPI: 1669902755
Provider Name: THE WEEKEND CLINIC PLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 16D2130965

Address:
2107 E 12TH ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 362-3312
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THE WEEKEND CLINIC PLC is a family nurse practitioner in Davenport, IA. THE WEEKEND CLINIC PLC NPI is 1669902755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2107 E 12TH ST
DAVENPORT, IA
ZIP 52803-706
Phone: (563) 362-3312
Fax: (563) 726-7369

The provider's authorized official is Beverly Benmoussa .
The authorized official title is Owner and has the following contact phone number (563) 362-3312.

The CLIA number assigned to this NPI record is 16D2130965 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2017 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyA139678IOWAYes

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

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