Susan Marie Pendergast in Surprise - Family
Susan Marie Pendergast - NPI 1770659369
Susan Marie Pendergast is a Family in Surprise, Arizona. Susan Marie Pendergast practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Marie Pendergast is 1770659369. The last update date is 2018-03-17.
Susan Marie Pendergast's current location address is 15951 W Sierra St, Surprise, Arizona. You can contact this provider via phone number 6233130389. The mailing address for Susan Marie Pendergast is 15951 W Sierra St, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Marie Pendergast |
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Address | 15951 W Sierra St, Surprise, Arizona |
Phone Number | 6233130389 |
Fax Number | |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1770659369 |
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Provider Enumeration Date | 2006-11-27 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 15951 W Sierra St |
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City | Surprise |
State | Arizona (AZ) |
Post Code | 853791143 |
Phone Number | 6233130389 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 739675 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1867632-01 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Marie Pendergast by the Centers for Medicare & Medicaid Services?
The Susan Marie Pendergast has been issued the NPI (National Provider Identifier) 1770659369 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Susan Marie Pendergast's physical address?
The Susan Marie Pendergast is physically located at 15951 W Sierra St, in the city of Surprise, AZ, with the postal code 853791143.
What is the Susan Marie Pendergast's specialty and taxonomy code?
The Susan Marie Pendergast's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When did Susan Marie Pendergast receive its 1770659369 assignment?
The Susan Marie Pendergast was assigned its 1770659369 on 2006-11-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Susan Marie Pendergast most recently updated or refreshed?
The details pertaining to the Susan Marie Pendergast, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-17.
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