FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC NPI 1376078303

NPI Information

NPI: 1376078303
Provider Name: FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
9405 N BRYANT RD
FLAGSTAFF, AZ
ZIP 86004
Phone: (208) 818-6181
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FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC is an acute care nurse practitioner in Flagstaff, AZ. FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC NPI is 1376078303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9405 N BRYANT RD
FLAGSTAFF, AZ
ZIP 86004-247
Phone: (208) 818-6181
Fax: (928) 255-0096

The provider's authorized official is Nathan Moss .
The authorized official title is Owner and has the following contact phone number (208) 818-6181.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 6/10/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	AP8631	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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