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SILVERCREEK FAMILY WALKIN CLINIC LLC NPI 1912984329


NPI Information

NPI: 1912984329
Provider Name: SILVERCREEK FAMILY WALKIN CLINIC, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 03D0997790

Address:
815 N MAIN ST
#D
TAYLOR, AZ
ZIP 85939
Phone: (928) 536-4322
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SILVERCREEK FAMILY WALKIN CLINIC, LLC is a family nurse practitioner in Taylor, AZ. SILVERCREEK FAMILY WALKIN CLINIC, LLC NPI is 1912984329. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

815 N MAIN ST
#D
TAYLOR, AZ
ZIP 85939-249
Phone: (928) 536-4322

The provider's authorized official is Arthur Wayne Hardy .
The authorized official title is Owner and has the following contact phone number (928) 536-4322.

The CLIA number assigned to this NPI record is 03D0997790 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.