Innovative Physician Services Llc in Springfield - Nurse Practitioner
Innovative Physician Services Llc - NPI 1922096049
Innovative Physician Services Llc is a Nurse Practitioner in Springfield, Massachusetts. Innovative Physician Services Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Innovative Physician Services Llc is 1922096049. The last update date is 2023-04-14.
Innovative Physician Services Llc's current location address is 490 Page Boulevard, Springfield, Massachusetts. You can contact this provider via phone number 4133495063 and fax number 4133632857. The mailing address for Innovative Physician Services Llc is 490 Page Boulevard, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Physician Services Llc |
|---|---|
| Address | 490 Page Boulevard, Springfield, Massachusetts |
| Phone Number | 4133495063 |
| Fax Number | 4133632857 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/CEO/ |
|---|---|
| Authorized Official Name | Dahdul M Adnan |
| Credentials | M.D. |
| Telephone Number | 4133016019 |
NPI Number Detail
| NPI Number | 1922096049 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2023-04-14 |
Provider Mailing Address Detail
| Address | 490 Page Boulevard |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 1104 |
| Phone Number | 4133495063 |
| Fax Number | 4133632857 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9721690 | MA | -- | |
| 110068493C | MA | -- | |
| 30214102 | NH | -- | |
| M18224 | MA | BLUE CROSS |
Post Comment/ Review Below
What is the Innovative Physician Services Llc's 1922096049?
The Innovative Physician Services Llc's NPI (National Provider Identifier) Number is 1922096049. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Innovative Physician Services Llc's facilities are situated?
The facilities of Innovative Physician Services Llc are physically located at the following address: 490 Page Boulevard, Springfield, MA, 1104.
What is the Innovative Physician Services Llc's area of specialization and corresponding taxonomy classification?
The Innovative Physician Services Llc's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Innovative Physician Services Llc's 1922096049 issued?
The Innovative Physician Services Llc's 1922096049 was issued on 2005-10-12.
As of what date were the Innovative Physician Services Llc's details last updated?
The information pertaining to the Innovative Physician Services Llc, including its address, specialty, and other details, was most recently updated on 2023-04-14.