SUNFLOWER MOBILE & MEDICAL CLINIC LLC NPI 1922713437

NPI Information

NPI: 1922713437
Provider Name: SUNFLOWER MOBILE & MEDICAL CLINIC LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 32D2286439

Address:
1533 S SAINT FRANCIS DR STE A
SANTA FE, NM
ZIP 87505
Phone: (813) 484-2335
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SUNFLOWER MOBILE & MEDICAL CLINIC LLC is an adult health nurse practitioner in Santa Fe, NM. SUNFLOWER MOBILE & MEDICAL CLINIC LLC NPI is 1922713437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1533 S SAINT FRANCIS DR STE A
SANTA FE, NM
ZIP 87505-032
Phone: (813) 484-2335
Fax: (949) 404-8999

The provider's authorized official is Elizabeth Olis .
The authorized official title is Ceo and has the following contact phone number (505) 920-5180.

The CLIA number assigned to this NPI record is 32D2286439 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2023 and was last updated on 3/15/2023.

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	363LA2200X	Nurse Practitioner	Adult Health			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: 5/5/2024

NPI Synchronization or Removal

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