ASHZRA PEDERSEN DNP RN FNP-C AGNP NPI 1649728999

NPI Information

NPI: 1649728999
Provider Name: ASHZRA PEDERSEN, DNP, RN, FNP-C, AGNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA
ZIP 95066
Phone: (831) 458-6300
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Ashzra Pedersen, DNP, RN, FNP-C, AGNP is a family nurse practitioner in Scotts Valley, CA with 7 years of experience. Ashzra Pedersen, DNP, RN, FNP-C, AGNP NPI is 1649728999. 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:

4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA
ZIP 95066-202
Phone: (831) 458-6300

The NPI 1649728999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 10/12/2020.

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	363LF0000X	Nurse Practitioner	Family	95007248	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	F07170649	CALIFORNIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	AG08170091	CALIFORNIA	No

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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