MRS. ELIZABETH S PLUMMER RN BC GNP NPI 1699734111

NPI Information

NPI: 1699734111
Provider Name: MRS. ELIZABETH S PLUMMER, RN BC GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
500 N US HIGHWAY 89
BUILDING 70, ROOM 131
PRESCOTT, AZ
ZIP 86313
Phone: (928) 776-5461
Get Directions

MRS. Elizabeth S Plummer, RN BC GNP is a gerontology nurse practitioner in Prescott, AZ. MRS. Elizabeth S Plummer, RN BC GNP NPI is 1699734111. 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:

500 N US HIGHWAY 89
BUILDING 70, ROOM 131
PRESCOTT, AZ
ZIP 86313-001
Phone: (928) 776-5461
Fax: (928) 776-6181

The NPI 1699734111 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 3/22/2006 and was last updated on 5/24/2016.

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	163W00000X	Registered Nurse		RN168345	ARIZONA	No
2	163WD0400X	Registered Nurse	Diabetes Educator	22210572	ARIZONA	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP3754	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	S85221	MEDICARE UPIN	MISSOURI

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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