DYNAMIC HEALTHCARE LLC NPI 1093396160

NPI Information

NPI: 1093396160
Provider Name: DYNAMIC HEALTHCARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 32D2230473

Address:
912 W 21ST ST
CLOVIS, NM
ZIP 88101
Phone: (575) 935-9000
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DYNAMIC HEALTHCARE LLC is a family nurse practitioner in Clovis, NM. DYNAMIC HEALTHCARE LLC NPI is 1093396160. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

912 W 21ST ST
CLOVIS, NM
ZIP 88101-154
Phone: (575) 935-9000
Fax: (575) 935-1002

The provider's authorized official is Lacey Meeks .
The authorized official title is Np/owner and has the following contact phone number (806) 481-7000.

The CLIA number assigned to this NPI record is 32D2230473 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/19/2021 and was last updated on 10/5/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics			No
2	363LF0000X	Nurse Practitioner	Family			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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