Brady Paul Nelson is a Medical in Peoria, Arizona. Brady Paul Nelson practices all healthcare services and medical treatments related to Medical. The NPI Number for Brady Paul Nelson is 1922103407. The last update date is 2012-02-17.
Brady Paul Nelson's current location address is 13943 N. 91st Ave Building I, Peoria, Arizona. You can contact this provider via phone number 6238152690 and fax number 6238152689. The mailing address for Brady Paul Nelson is 13943 N. 91st Ave Building I, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brady Paul Nelson |
|---|---|
| Address | 13943 N. 91st Ave Building I, Peoria, Arizona |
| Phone Number | 6238152690 |
| Fax Number | 6238152689 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1922103407 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2012-02-17 |
Provider Mailing Address Detail
| Address | 13943 N. 91st Ave Building I |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853813692 |
| Phone Number | 6238152690 |
| Fax Number | 6238152689 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2677 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 736077 | AZ | -- | |
| 2677 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brady Paul Nelson by the Centers for Medicare & Medicaid Services?
The Brady Paul Nelson has been assigned the NPI (National Provider Identifier) 1922103407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Brady Paul Nelson's physical address?
The Brady Paul Nelson is physically located at 13943 N. 91St Ave Building I, in the city of Peoria, AZ, with the postal code 853813692.
What is Brady Paul Nelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brady Paul Nelson's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did Brady Paul Nelson receive its 1922103407 assignment from the Centers for Medicare & Medicaid Services?
The Brady Paul Nelson was assigned its 1922103407 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brady Paul Nelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brady Paul Nelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-17.
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