Organization · Type 2 NPI

San Carlos Apache Healthcare Corporation

Nurse Practitioner · Peridot, AZ

NPI number 1801245501 Active

Practice location

103 Medicine Way Road
Peridot, AZ 85542

Mailing address

PO Box 787
Peridot, AZ 85542-0787

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

17 other providers at this address

About NPI 1801245501

San Carlos Apache Healthcare Corporation's National Provider Identifier is 1801245501, issued on Jun 3, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peridot, AZ. The record was last updated on Jun 3, 2016.