THE LITTLE CLINIC OF ARIZONA NPI 1760931679

NPI Information

NPI: 1760931679
Provider Name: THE LITTLE CLINIC OF ARIZONA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2724 S SIGNAL BUTTE RD
MESA, AZ
ZIP 85209
Phone: (480) 481-7210
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THE LITTLE CLINIC OF ARIZONA is a family nurse practitioner in Mesa, AZ. THE LITTLE CLINIC OF ARIZONA NPI is 1760931679. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2724 S SIGNAL BUTTE RD
MESA, AZ
ZIP 85209-104
Phone: (480) 481-7210

The provider's authorized official is Marc R Watkins .
The authorized official title is Cmo and has the following contact phone number (615) 425-4200.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 12/21/2016.

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	363A00000X	Physician Assistant				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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