MD-NP ADULT MEDICINE LLC NPI 1316375181

NPI Information

NPI: 1316375181
Provider Name: MD-NP ADULT MEDICINE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 03D2202561

Address:
77 CALLE PORTAL
STE B240
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 226-4338
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MD-NP ADULT MEDICINE LLC is a family nurse practitioner in Sierra Vista, AZ. MD-NP ADULT MEDICINE LLC NPI is 1316375181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

77 CALLE PORTAL
STE B240
SIERRA VISTA, AZ
ZIP 85635-967
Phone: (520) 226-4338
Fax: (866) 479-4841

The provider's authorized official is Kathryn Aprahamian Marquez .
The authorized official title is Np and has the following contact phone number (520) 440-6914.

The CLIA number assigned to this NPI record is 03D2202561 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.

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	363LF0000X	Nurse Practitioner	Family	AP5079	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: 4/28/2024

NPI Synchronization or Removal

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