DR. SHURINE ANN PATE DNP APRN AGPCNP-BC NPI 1235861832

NPI Information

NPI: 1235861832
Provider Name: DR. SHURINE ANN PATE, DNP, APRN, AGPCNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
3101 CLEARWATER DR STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 277-4622
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DR. Shurine Ann Pate, DNP, APRN, AGPCNP-BC is a primary care nurse practitioner in Prescott, AZ with 2 years of experience. DR. Shurine Ann Pate, DNP, APRN, AGPCNP-BC NPI is 1235861832. 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:

3101 CLEARWATER DR STE B
PRESCOTT, AZ
ZIP 86305-180
Phone: (928) 277-4622
Fax: (928) 515-1219

The NPI 1235861832 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 6/30/2022 and was last updated on 4/18/2024.

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
1	363LA2200X	Nurse Practitioner	Adult Health	277285	ARIZONA	No
2	363LG0600X	Nurse Practitioner	Gerontology	277285	ARIZONA	No
3	363LP2300X	Nurse Practitioner	Primary Care	277285	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: 5/5/2024

NPI Synchronization or Removal

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