Val Vista Lakes Family Medicine, Pc in Gilbert - Nurse Practitioner
Val Vista Lakes Family Medicine, Pc - NPI 1487605481
Val Vista Lakes Family Medicine, Pc is a Nurse Practitioner in Gilbert, Arizona. Val Vista Lakes Family Medicine, Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Val Vista Lakes Family Medicine, Pc is 1487605481. The last update date is 2007-07-11.
Val Vista Lakes Family Medicine, Pc's current location address is 3331 E Baseline Rd, Gilbert, Arizona. You can contact this provider via phone number 4805451100 and fax number 4805457181. The mailing address for Val Vista Lakes Family Medicine, Pc is 3331 E Baseline Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Val Vista Lakes Family Medicine, Pc |
|---|---|
| Address | 3331 E Baseline Rd, Gilbert, Arizona |
| Phone Number | 4805451100 |
| Fax Number | 4805457181 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Hatfield Kent |
| Credentials | DO |
| Telephone Number | 4805451100 |
NPI Number Detail
| NPI Number | 1487605481 |
|---|---|
| Provider Enumeration Date | 2006-05-14 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 3331 E Baseline Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852342633 |
| Phone Number | 4805451100 |
| Fax Number | 4805457181 |
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 |
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What is the Val Vista Lakes Family Medicine, Pc's unique identification number?
The Val Vista Lakes Family Medicine, Pc has been assigned the NPI (National Provider Identifier) Number 1487605481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Val Vista Lakes Family Medicine, Pc's physical address?
The Val Vista Lakes Family Medicine, Pc is physically located at 3331 E Baseline Rd, in the city of Gilbert, AZ, with the postal code 852342633.
What is Val Vista Lakes Family Medicine, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Val Vista Lakes Family Medicine, Pc is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487605481 to Val Vista Lakes Family Medicine, Pc?
The Val Vista Lakes Family Medicine, Pc received its 1487605481 assignment from the Centers for Medicare & Medicaid Services on 2006-05-14.
When was the Val Vista Lakes Family Medicine, Pc's information last updated?
The Val Vista Lakes Family Medicine, Pc's information was last updated on 2007-07-11.
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