VERDE VALLEY CONCIERGE MEDICINE PLLC NPI 1750974960

NPI Information

NPI: 1750974960
Provider Name: VERDE VALLEY CONCIERGE MEDICINE PLLC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
203 S CANDY LN STE 1A
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 852-4540
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VERDE VALLEY CONCIERGE MEDICINE PLLC is an acute care nurse practitioner in Cottonwood, AZ. VERDE VALLEY CONCIERGE MEDICINE PLLC NPI is 1750974960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 S CANDY LN STE 1A
COTTONWOOD, AZ
ZIP 86326-104
Phone: (928) 852-4540
Fax: (877) 832-2119

The provider's authorized official is Jason Keable .
The authorized official title is Member/provider and has the following contact phone number (928) 852-4540.

The enumeration date for this NPI number is 2/18/2021 and was last updated on 2/18/2021.

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	363LA2100X	Nurse Practitioner	Acute Care			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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