SCOTTSDALE HEALTHCARE CORP. NPI 1639481138

NPI Information

NPI: 1639481138
Provider Name: SCOTTSDALE HEALTHCARE CORP.

Doing Business As: SCOTTSDALE HEALTHCARE NEUROSCIENCES CLINIC

Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
10250 N 92ND ST
SUITE 304
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 451-7676
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SCOTTSDALE HEALTHCARE CORP. is a gerontology nurse practitioner in Scottsdale, AZ. SCOTTSDALE HEALTHCARE CORP. NPI is 1639481138. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Scottsdale Healthcare Neurosciences Clinic.

The provider's business location address is:

10250 N 92ND ST
SUITE 304
SCOTTSDALE, AZ
ZIP 85258-510
Phone: (480) 451-7676
Fax: (480) 451-0971

The provider's authorized official is Richard Silver .
The authorized official title is Ceo and has the following contact phone number (623) 434-6200.

The enumeration date for this NPI number is 7/13/2010 and was last updated on 2/2/2019.

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	2084N0400X	Psychiatry & Neurology	Neurology			No
2	363LG0600X	Nurse Practitioner	Gerontology			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	PENDING	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: 11/14/2023

NPI Synchronization or Removal

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