Individual provider · Type 1 NPI
Virginia Prendergast, NP
Adult Health Nurse Practitioner · Phoenix, AZ
NPI number
1578633657
Active
Practice location
1424 E Marshall Ave
Phoenix, AZ 85014-2358
Fax (602) 406-4969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN039088 (AZ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP6877 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1578633657
Virginia Prendergast, NP's National Provider Identifier is 1578633657, issued on Nov 8, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 3, 2015.