Avalon Medical Group in Pensacola - Nurse Practitioner
Avalon Medical Group - NPI 1558531905
Avalon Medical Group is a Nurse Practitioner in Pensacola, Florida. Avalon Medical Group practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Avalon Medical Group is 1558531905. The last update date is 2012-07-06.
Avalon Medical Group's current location address is Po Box 10209, Pensacola, Florida. You can contact this provider via phone number 8504764200 and fax number 8666840566. The mailing address for Avalon Medical Group is Po Box 10209, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Medical Group |
|---|---|
| Address | Po Box 10209, Pensacola, Florida |
| Phone Number | 8504764200 |
| Fax Number | 8666840566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Stanley K Katherine |
| Credentials | ARNP-BC |
| Telephone Number | 8504857341 |
NPI Number Detail
| NPI Number | 1558531905 |
|---|---|
| Provider Enumeration Date | 2008-03-01 |
| Last Updated Date | 2012-07-06 |
Provider Mailing Address Detail
| Address | Po Box 10209 |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325240209 |
| Phone Number | 8504764200 |
| Fax Number | 8666840566 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (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 certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A0P | FL | BLUE CROSS BLUE SHIELD OF FLOR | |
| 1078000 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Avalon Medical Group?
The Avalon Medical Group has been issued the NPI (National Provider Identifier) 1558531905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Avalon Medical Group's facilities are situated?
The facilities of Avalon Medical Group are physically located at the following address: Po Box 10209, Pensacola, FL, 325240209.
What is Avalon Medical Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Avalon Medical Group is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
When did Avalon Medical Group receive its 1558531905 assignment?
The Avalon Medical Group was assigned its 1558531905 on 2008-03-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Avalon Medical Group, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Avalon Medical Group, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-07-06.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA