PEDIATRIC ASSOCIATES PC NPI 1346475076

NPI Information

NPI: 1346475076
Provider Name: PEDIATRIC ASSOCIATES PC
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 49D0227069

Address:
1001 HIOAKS RD
RICHMOND, VA
ZIP 23225
Phone: (804) 320-7139
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PEDIATRIC ASSOCIATES PC is a pediatrics clinical nurse specialist in Richmond, VA. PEDIATRIC ASSOCIATES PC NPI is 1346475076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 HIOAKS RD
RICHMOND, VA
ZIP 23225-029
Phone: (804) 320-7139
Fax: (804) 323-0153

The provider's authorized official is Kelly Elmore .
The authorized official title is Practice Manager and has the following contact phone number (804) 320-7139.

The CLIA number assigned to this NPI record is 49D0227069 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 5/26/2009.

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	364SP0200X	Clinical Nurse Specialist	Pediatrics	0017139437	VIRGINIA	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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