CENTURY HEALTH CARE NP LLC NPI 1952964660

NPI Information

NPI: 1952964660
Provider Name: CENTURY HEALTH CARE NP LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 03D2168964

Address:
12301 W BELL RD STE B107
SURPRISE, AZ
ZIP 85378
Phone: (623) 289-7223
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CENTURY HEALTH CARE NP LLC is an adult health nurse practitioner in Surprise, AZ. CENTURY HEALTH CARE NP LLC NPI is 1952964660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12301 W BELL RD STE B107
SURPRISE, AZ
ZIP 85378-706
Phone: (623) 289-7223
Fax: (623) 289-7829

The provider's authorized official is Michelle Witzel .
The authorized official title is Owner and has the following contact phone number (623) 289-7223.

The CLIA number assigned to this NPI record is 03D2168964 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 11/1/2023.

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: 4/28/2024

NPI Synchronization or Removal

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