SIMONE GABRIEL ENTERPRISES NPI 1881296382

NPI Information

NPI: 1881296382
Provider Name: SIMONE GABRIEL ENTERPRISES

Doing Business As: ADAIR FAMILY CLINIC & MEDSPA

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
15182 N 75TH AVE STE 180
PEORIA, AZ
ZIP 85381
Phone: (602) 567-7856
Get Directions

SIMONE GABRIEL ENTERPRISES is a family nurse practitioner in Peoria, AZ. SIMONE GABRIEL ENTERPRISES NPI is 1881296382. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adair Family Clinic & Medspa.

The provider's business location address is:

15182 N 75TH AVE STE 180
PEORIA, AZ
ZIP 85381-722
Phone: (602) 567-7856

The provider's authorized official is Kristian Adair .
The authorized official title is Owner and has the following contact phone number (602) 567-7856.

The CLIA number assigned to this NPI record is 03D2292315 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2020 and was last updated on 5/8/2023.

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	207QA0505X	Family Medicine	Adult Medicine			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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