CANDACE BERLYNN PATEL FNP-BC NPI 1700151362

NPI Information

NPI: 1700151362
Provider Name: CANDACE BERLYNN PATEL, FNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: DOC MARTINS INC A C C

PECOS Registration: Yes

Address:
2001 N 4TH ST
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 527-4325
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Candace Berlynn Patel, FNP-BC is a primary care nurse practitioner in Flagstaff, AZ with 5 years of experience. Candace Berlynn Patel, FNP-BC NPI is 1700151362. 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:

2001 N 4TH ST
FLAGSTAFF, AZ
ZIP 86004-227
Phone: (928) 527-4325

The NPI 1700151362 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 3/15/2012 and was last updated on 8/13/2020.

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	163W00000X	Registered Nurse		RN172192	ARIZONA	No
2	363LP2300X	Nurse Practitioner	Primary Care	244439	ARIZONA	Yes
3	363LW0102X	Nurse Practitioner	Women's Health	56144	NEW MEXICO	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: 11/14/2023

NPI Synchronization or Removal

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