MICHELE M PETERS FNP NPI 1679505812

NPI Information

NPI: 1679505812
Provider Name: MICHELE M PETERS FNP
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: PRESCOTT NEUROLOGICAL CLINIC
Address: 1000 AINSWORTH DR
STE A220
PRESCOTT, AZ
ZIP 86305
Phone: (928) 830-1717

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NPI Details

MICHELE M PETERS FNP is a primary care clinic center in Prescott, AZ. MICHELE M PETERS FNP NPI is 1679505812. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Neurological Clinic.

The provider's business location address is:

1000 AINSWORTH DR
STE A220
PRESCOTT, AZ
ZIP 86305-645
Phone: (928) 830-1717
Fax: (877) 835-3579

The provider's authorized official is Gene Peters .
The authorized official title is Business Manager and has the following contact phone number (928) 300-1388.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/28/2014.

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	261QP2300X	Clinic/Center	Primary Care			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	84660	MEDICARE PIN

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: 3/30/2025

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