KIRSTEN DOMINIQUE HART RENTFROW N.P. NPI 1134523624

NPI Information

NPI: 1134523624
Provider Name: KIRSTEN DOMINIQUE HART RENTFROW, N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
18857 S LA CANADA DR
SAHUARITA, AZ
ZIP 85629
Phone: (520) 407-5800
Get Directions

Kirsten Dominique Hart Rentfrow, N.P. is a pediatrics nurse practitioner in Sahuarita, AZ. Kirsten Dominique Hart Rentfrow, N.P. NPI is 1134523624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18857 S LA CANADA DR
SAHUARITA, AZ
ZIP 85629-990
Phone: (520) 407-5800
Fax: (520) 407-5990

The NPI 1134523624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 12/2/2020.

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	363LP0200X	Nurse Practitioner	Pediatrics	AP7353	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	985949	MEDICAID	ARIZONA

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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