SHURINE PATE PLLC NPI 1174243505

NPI Information

NPI: 1174243505
Provider Name: SHURINE PATE, PLLC

Doing Business As: PATE COMPLETE HEALTHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3101 CLEARWATER DR STE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 277-4622
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SHURINE PATE, PLLC is a primary care clinic center in Prescott, AZ. SHURINE PATE, PLLC NPI is 1174243505. The provider is registered as an organization entity type.
The provider Is Doing Business As Pate Complete Healthcare.

The provider's business location address is:

3101 CLEARWATER DR STE B
PRESCOTT, AZ
ZIP 86305-180
Phone: (928) 277-4622
Fax: (928) 515-1219

The provider's authorized official is Shurine Ann Pate .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (928) 277-4622.

The CLIA number assigned to this NPI record is 03D2299063 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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