ISIS MEDICINE PC NPI 1114996188

NPI Information

NPI: 1114996188
Provider Name: ISIS MEDICINE PC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
401 BOTULPH LN
SANTA FE, NM
ZIP 87505
Phone: (505) 983-8387
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ISIS MEDICINE PC is a medical physician assistant in Santa Fe, NM. ISIS MEDICINE PC NPI is 1114996188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 BOTULPH LN
SANTA FE, NM
ZIP 87505-912
Phone: (505) 983-8387

The provider's authorized official is Anna Annon .
The authorized official title is Administrtive Assistant and has the following contact phone number (505) 983-8387.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/22/2020.

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	363AM0700X	Physician Assistant	Medical	PA2005-0046	NEW MEXICO	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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