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ANGELA SCHILLING-KOONS NP LLC NPI 1487042420


NPI Information

NPI: 1487042420
Provider Name: ANGELA SCHILLING-KOONS, NP, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
203 S CANDY LN
BLDG 13AB
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-1389
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ANGELA SCHILLING-KOONS, NP, LLC is a primary care clinic center in Cottonwood, AZ. ANGELA SCHILLING-KOONS, NP, LLC NPI is 1487042420. The provider is registered as an organization entity type.

The provider's business location address is:

203 S CANDY LN
BLDG 13AB
COTTONWOOD, AZ
ZIP 86326-120
Phone: (928) 649-1389
Fax: (928) 634-5314

The provider's authorized official is Angela D. Schilling-koons .
The authorized official title is Owner and has the following contact phone number (928) 202-7882.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 6/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z177921MEDICARE PINARIZONA
2026196MEDICAIDARIZONA

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

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