ADVANCED CLINICAL PRACTITIONERS LLC NPI 1578096798

NPI Information

NPI: 1578096798
Provider Name: ADVANCED CLINICAL PRACTITIONERS, LLC
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

Address:
20823 N CAVE CREEK RD
SUITE 103
PHOENIX, AZ
ZIP 85024
Phone: (623) 399-8606
Get Directions

ADVANCED CLINICAL PRACTITIONERS, LLC is a family health clinical nurse specialist in Phoenix, AZ. ADVANCED CLINICAL PRACTITIONERS, LLC NPI is 1578096798. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20823 N CAVE CREEK RD
SUITE 103
PHOENIX, AZ
ZIP 85024-468
Phone: (623) 399-8606
Fax: (623) 399-9958

The provider's authorized official is Maria Izdebski .
The authorized official title is Owner and has the following contact phone number (623) 399-8606.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.

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	364SF0001X	Clinical Nurse Specialist	Family Health	RN103493	ARIZONA	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	Other Provider Identifier Issuer
1	Z185958	MEDICARE PIN	ARIZONA
2	RN103493	OTHER	ARIZONA	LICENSE

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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