MISS KATHRYN JOY PACKER NURSE PRACTITIONER NPI 1700852928

NPI Information

NPI: 1700852928
Provider Name: MISS KATHRYN JOY PACKER, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
14478 W WINDSOR AVE
GOODYEAR, AZ
ZIP 85395
Phone: (602) 320-4818
Get Directions

MISS Kathryn Joy Packer, NURSE PRACTITIONER is a family nurse practitioner in Goodyear, AZ. MISS Kathryn Joy Packer, NURSE PRACTITIONER NPI is 1700852928. 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:

14478 W WINDSOR AVE
GOODYEAR, AZ
ZIP 85395-035
Phone: (602) 320-4818
Fax: (623) 320-4818

The NPI 1700852928 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 2/27/2006 and was last updated on 6/14/2023.

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	AP1240	ARIZONA	Yes
2	363LF0000X	Nurse Practitioner	Family	APRN11022406	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	C-APN.0004221-C-NP	COLORADO	No
4	363LW0102X	Nurse Practitioner	Women's Health	AP7236	ARIZONA	No

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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