DAN NURSE PRACTITIONER SERVICES LLC NPI 1477858801

NPI Information

  • NPI: 1477858801
  • Provider Name: DAN NURSE PRACTITIONER SERVICES, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 200 W FRONTIER ST
    SUITE M
    PAYSON, AZ
    ZIP 85541
  • Phone: (928) 595-1176

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NPI Details

DAN NURSE PRACTITIONER SERVICES, LLC is a primary care nurse practitioner in Payson, AZ. DAN NURSE PRACTITIONER SERVICES, LLC NPI is 1477858801. The provider is registered as an organization entity type.

The provider's business location address is:

200 W FRONTIER ST
SUITE M
PAYSON, AZ
ZIP 85541-362
Phone: (928) 595-1176
Fax: (928) 478-6206

The provider's authorized official is Deborah Ann Nichols .
The authorized official title is Principal Officer and has the following contact phone number (928) 595-1176.

The enumeration date for this NPI number is 1/15/2011 and was last updated on 2/4/2014.

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
1261QP2300XClinic/CenterPrimary CareAP1489ARIZONANo
2314000000XSkilled Nursing FacilityAP1489ARIZONANo
3310400000XAssisted Living FacilityAP1489ARIZONANo
4363LP2300XNurse PractitionerPrimary CareAP1489ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P62785MEDICARE UPIN
270871OTHERARIZONAMEDICARE ID NUMBER

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

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