ABBY MICHELE NASTERNAK PA C NPI 1689645467

NPI Information

NPI: 1689645467
Provider Name: ABBY MICHELE NASTERNAK, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9494 W NORTHERN AVE
101
GLENDALE, AZ
ZIP 85305
Phone: (623) 872-2226
Get Directions

Abby Michele Nasternak, PA C is a medical physician assistant in Glendale, AZ. Abby Michele Nasternak, PA C NPI is 1689645467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9494 W NORTHERN AVE
101
GLENDALE, AZ
ZIP 85305-118
Phone: (623) 872-2226

The NPI 1689645467 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/14/2014.

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	363AM0700X	Physician Assistant	Medical	3033	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
1	P86175	MEDICARE UPIN
2	885048	MEDICAID	ARIZONA
3	Z84804	MEDICARE PIN	ARIZONA

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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