NIGHT LIGHT PEDIATRICS LLC NPI 1295855914

NPI Information

NPI: 1295855914
Provider Name: NIGHT LIGHT PEDIATRICS LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1240 E 100 S STE 14
ST GEORGE, UT
ZIP 84790
Phone: (435) 628-8034
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NIGHT LIGHT PEDIATRICS LLC is an adolescent medicine pediatrics in St George, UT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NIGHT LIGHT PEDIATRICS LLC NPI is 1295855914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1240 E 100 S STE 14
ST GEORGE, UT
ZIP 84790-005
Phone: (435) 628-8034

The provider's authorized official is Jerry D Twiggs .
The authorized official title is President and has the following contact phone number (435) 628-8034.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/25/2007.

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	2080A0000X	Pediatrics	Adolescent Medicine	88-178110-1205	UTAH	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	09165	MEDICAID	UTAH

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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