Brian L Haverdink in Modesto - Nurse Practitioner
Brian L Haverdink - NPI 1487600896
Brian L Haverdink is a Nurse Practitioner in Modesto, California. Brian L Haverdink practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Brian L Haverdink is 1487600896. The last update date is 2010-05-27.
Brian L Haverdink's current location address is 1409 E Briggsmore Ave, Modesto, California. You can contact this provider via phone number 2095504750. The mailing address for Brian L Haverdink is 1409 E Briggsmore Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian L Haverdink |
|---|---|
| Address | 1409 E Briggsmore Ave, Modesto, California |
| Phone Number | 2095504750 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1487600896 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2010-05-27 |
Provider Mailing Address Detail
| Address | 1409 E Briggsmore Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953552707 |
| Phone Number | 2095504750 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP16168 |
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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 Brian L Haverdink by the Centers for Medicare & Medicaid Services?
The Brian L Haverdink has been assigned the NPI (National Provider Identifier) 1487600896 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brian L Haverdink is geographically located?
The Brian L Haverdink is physically situated at the following location: 1409 E Briggsmore Ave, Modesto, CA, 953552707.
What is Brian L Haverdink's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian L Haverdink is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date was the 1487600896 assigned to Brian L Haverdink?
The Brian L Haverdink was issued its 1487600896 on 2006-05-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brian L Haverdink last refreshed?
The information related to the Brian L Haverdink, including its address, specialty, and other relevant details, was last updated on 2010-05-27.
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