PINNACLE PERFORMANCE MEDICINE NPI 1477424182

NPI Information

  • NPI: 1477424182
  • Provider Name: PINNACLE PERFORMANCE MEDICINE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 3923 W ABRAHAM LN
    GLENDALE, AZ
    ZIP 85308
  • Phone: (623) 213-9221

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NPI Details

PINNACLE PERFORMANCE MEDICINE is a family nurse practitioner in Glendale, AZ. PINNACLE PERFORMANCE MEDICINE NPI is 1477424182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3923 W ABRAHAM LN
GLENDALE, AZ
ZIP 85308-022
Phone: (623) 213-9221

The provider's authorized official is Jose Ruiz .
The authorized official title is Provider and has the following contact phone number (623) 213-9221.

The enumeration date for this NPI number is 9/16/2025 and was last updated on 9/16/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

NPI Synchronization or Removal

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