VANGUARD MOBILE PHYSICIANS PLLC NPI 1508309626

NPI Information

NPI: 1508309626
Provider Name: VANGUARD MOBILE PHYSICIANS PLLC
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Organization

Specialization: Community Health

Address:
105 N PASADENA ST STE 3
GILBERT, AZ
ZIP 85233
Phone: (480) 246-3500
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VANGUARD MOBILE PHYSICIANS PLLC is a community health nurse practitioner in Gilbert, AZ. VANGUARD MOBILE PHYSICIANS PLLC NPI is 1508309626. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

105 N PASADENA ST STE 3
GILBERT, AZ
ZIP 85233-013
Phone: (480) 246-3500
Fax: (480) 246-3525

The provider's authorized official is Tarik M Shirif .
The authorized official title is Ceo, President and has the following contact phone number (480) 246-3593.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 9/14/2020.

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	363A00000X	Physician Assistant				No
2	363LC1500X	Nurse Practitioner	Community Health			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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