MS. MARY TAPIA FNP/CNM NPI 1538283650

NPI Information

NPI: 1538283650
Provider Name: MS. MARY TAPIA, FNP/CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
3132 STIX RD
LAKESIDE, AZ
ZIP 85929
Phone: (505) 870-7879
Get Directions

MS. Mary Tapia, FNP/CNM is an obstetrics and gynecology nurse practitioner in Lakeside, AZ. MS. Mary Tapia, FNP/CNM NPI is 1538283650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3132 STIX RD
LAKESIDE, AZ
ZIP 85929-917
Phone: (505) 870-7879

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/1/2017.

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	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	RN155657	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	RN155657	ARIZONA	No
3	367A00000X	Advanced Practice Midwife		RN155657	ARIZONA	No
4	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	RN155657	CALIFORNIA	Yes

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
1	P57985	MEDICARE UPIN	ARIZONA
2	697360	MEDICAID	ARIZONA
3	1629236716	MEDICAID	ARIZONA
4	1871523191	MEDICAID	ARIZONA
5	1295993376	MEDICAID	ARIZONA
6	1780614008	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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