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PRIEST NP SERVICES NPI 1306905336


NPI Information

NPI: 1306905336
Provider Name: PRIEST NP SERVICES
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
750 GRANT AVE
SUITE 150
NOVATO, CA
ZIP 94945
Phone: (415) 899-9800
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PRIEST NP SERVICES is a gerontology nurse practitioner in Novato, CA. PRIEST NP SERVICES NPI is 1306905336. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

750 GRANT AVE
SUITE 150
NOVATO, CA
ZIP 94945-001
Phone: (415) 899-9800
Fax: (415) 899-9805

The provider's authorized official is Debra Bakerjian .
The authorized official title is Ceo Owner and has the following contact phone number (415) 899-9800.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontology385529CALIFORNIANo
2363LG0600XNurse PractitionerGerontology443622CALIFORNIANo
3363LG0600XNurse PractitionerGerontology169169CALIFORNIANo
4363LG0600XNurse PractitionerGerontology312821CALIFORNIANo
5363LG0600XNurse PractitionerGerontology514203CALIFORNIANo
6363LG0600XNurse PractitionerGerontology484393CALIFORNIANo
7363LG0600XNurse PractitionerGerontology284559CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GNP000100MEDICAIDCALIFORNIA
2ZZZ23365ZMEDICARE PINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.