SOUTHWESTERN PEDIATRICSPLLC NPI 1093033110

NPI Information

NPI: 1093033110
Provider Name: SOUTHWESTERN PEDIATRICSPLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
21300 N JOHN WAYNE PKWY STE 109
MARICOPA, AZ
ZIP 85139
Phone: (520) 568-9500
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SOUTHWESTERN PEDIATRICSPLLC is a family nurse practitioner in Maricopa, AZ. SOUTHWESTERN PEDIATRICSPLLC NPI is 1093033110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21300 N JOHN WAYNE PKWY STE 109
MARICOPA, AZ
ZIP 85139-964
Phone: (520) 568-9500
Fax: (520) 568-9533

The provider's authorized official is Kellie Ann Denos .
The authorized official title is Front Office and has the following contact phone number (480) 857-6316.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 5/13/2010.

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	AP3529	ARIZONA	Yes

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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