SANCTUARY COVE HEALTHCARE PLLC NPI 1730799362

NPI Information

NPI: 1730799362
Provider Name: SANCTUARY COVE HEALTHCARE, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 03D2156637

Address:
799 COVE PKWY
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-6474
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SANCTUARY COVE HEALTHCARE, PLLC is a family nurse practitioner in Cottonwood, AZ. SANCTUARY COVE HEALTHCARE, PLLC NPI is 1730799362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

799 COVE PKWY
COTTONWOOD, AZ
ZIP 86326-683
Phone: (928) 649-6474

The provider's authorized official is Donna Jean Buchanan .
The authorized official title is Owner/partner and has the following contact phone number (928) 649-6474.

The CLIA number assigned to this NPI record is 03D2156637 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 8/7/2020.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	363LF0000X	Nurse Practitioner	Family			Yes

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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