ELIZABETH DAGOBERG DNP AG-ACNP NPI 1205594413

NPI Information

  • NPI: 1205594413
  • Provider Name: ELIZABETH DAGOBERG, DNP, AG-ACNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 161 E RIVULON BLVD STE 210
    GILBERT, AZ
    ZIP 85297
  • Phone: (602) 739-8769

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NPI Details

Elizabeth Dagoberg, DNP, AG-ACNP is a gerontology nurse practitioner in Gilbert, AZ. Elizabeth Dagoberg, DNP, AG-ACNP NPI is 1205594413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

161 E RIVULON BLVD STE 210
GILBERT, AZ
ZIP 85297-035
Phone: (602) 739-8769

The NPI 1205594413 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2021 and was last updated on 5/22/2023.

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
1363LG0600XNurse PractitionerGerontology275445ARIZONAYes
2363LA2100XNurse PractitionerAcute Care275445ARIZONANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4163W00000XRegistered NurseRN200398ARIZONANo

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: 3/30/2025

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