YOUR NURSE PRACTITIONER LLC NPI 1346504818

NPI Information

NPI: 1346504818
Provider Name: YOUR NURSE PRACTITIONER LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
6261 BOOTHWYN ST
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 775-9057
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YOUR NURSE PRACTITIONER LLC is a gerontology nurse practitioner in Prescott Valley, AZ. YOUR NURSE PRACTITIONER LLC NPI is 1346504818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6261 BOOTHWYN ST
PRESCOTT VALLEY, AZ
ZIP 86314-726
Phone: (928) 775-9057

The provider's authorized official is Patricia Ann Nawrocki .
The authorized official title is Jurse Practitioner and has the following contact phone number (928) 775-9057.

The enumeration date for this NPI number is 6/29/2012 and was last updated on 6/29/2012.

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	363LG0600X	Nurse Practitioner	Gerontology	RN039594	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: 11/14/2023

NPI Synchronization or Removal

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