Shannon M Kovalcik in Glendale - Nurse Practitioner
Shannon M Kovalcik - NPI 1245317502
Shannon M Kovalcik is a Nurse Practitioner in Glendale, Arizona. Shannon M Kovalcik practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shannon M Kovalcik is 1245317502. The last update date is 2007-07-08.
Shannon M Kovalcik's current location address is 24431 N 38th Ter, Glendale, Arizona. You can contact this provider via phone number 6233998717. The mailing address for Shannon M Kovalcik is 24431 N 38th Ter, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Kovalcik |
|---|---|
| Address | 24431 N 38th Ter, Glendale, Arizona |
| Phone Number | 6233998717 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1245317502 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24431 N 38th Ter |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853103360 |
| Phone Number | 6233998717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP2427 |
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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 unique 10-digit identifier code issued to Shannon M Kovalcik by the Centers for Medicare & Medicaid Services?
The Shannon M Kovalcik has been assigned the NPI (National Provider Identifier) 1245317502 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shannon M Kovalcik is located?
The Shannon M Kovalcik is situated at the following address: 24431 N 38Th Ter, Glendale, AZ, 853103360.
What is Shannon M Kovalcik's area of expertise and its corresponding taxonomy classification?
The Shannon M Kovalcik's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1245317502 to Shannon M Kovalcik?
The Shannon M Kovalcik received its 1245317502 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information related to Shannon M Kovalcik most recently updated or refreshed?
The details pertaining to the Shannon M Kovalcik, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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