TONOPAH PRIMARY CARE LLC NPI 1003305616

NPI Information

TONOPAH PRIMARY CARE LLC is a family nurse practitioner in Tonopah, NV. TONOPAH PRIMARY CARE LLC NPI is 1003305616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 ST. PATRICK
TONOPAH, NV
ZIP 89049
Phone: (775) 482-9898
Fax: (775) 482-9900

The provider's authorized official is Eljena Marie Peterson .
The authorized official title is Manager and has the following contact phone number (775) 482-9898.

The CLIA number assigned to this NPI record is 29D0926246 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2018 and was last updated on 5/9/2018.

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:

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