MOUNTAIN VIEW MENTAL HEALTH AND PRIMARY CARE NPI 1043079015

NPI Information

  • NPI: 1043079015
  • Provider Name: MOUNTAIN VIEW MENTAL HEALTH AND PRIMARY CARE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: MOUNTAIN VIEW MENTAL HEALTH AND PRIMARY CARE
  • CLIA Number: 03D2301307
  • Address: 1055 RUTH ST STE 1
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 515-2443

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NPI Details

MOUNTAIN VIEW MENTAL HEALTH AND PRIMARY CARE is a family nurse practitioner in Prescott, AZ. MOUNTAIN VIEW MENTAL HEALTH AND PRIMARY CARE NPI is 1043079015. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mountain View Mental Health And Primary Care.

The provider's business location address is:

1055 RUTH ST STE 1
PRESCOTT, AZ
ZIP 86301-740
Phone: (928) 515-2443
Fax: (928) 227-2496

The provider's authorized official is Cheri Lee Ledsome .
The authorized official title is Owner and has the following contact phone number (928) 515-2443.

The CLIA number assigned to this NPI record is 03D2301307 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 6/3/2024.

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
1363LF0000XNurse PractitionerFamilyYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 3/30/2025

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