PEDERSEN PRIMARY CARE LLC NPI 1770027179

NPI Information

PEDERSEN PRIMARY CARE, LLC is a family nurse practitioner in Chandler, AZ. PEDERSEN PRIMARY CARE, LLC NPI is 1770027179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 S ALMA SCHOOL RD
# 5 A
CHANDLER, AZ
ZIP 85224-631
Phone: (480) 659-5013
Fax: (480) 659-2057

The provider's authorized official is Caren C Pedersen .
The authorized official title is Family Nurse Practioner/fnp and has the following contact phone number (602) 625-6286.

The CLIA number assigned to this NPI record is 03D2123274 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2016 and was last updated on 2/22/2017.

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:

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