MOUNTAIN VISTA PAIN MANAGEMENT LLC NPI 1629499421

NPI Information

NPI: 1629499421
Provider Name: MOUNTAIN VISTA PAIN MANAGEMENT LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1375 N SCOTTSDALE RD
STE 180
SCOTTSDALE, AZ
ZIP 85257
Phone: (480) 874-9800
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MOUNTAIN VISTA PAIN MANAGEMENT LLC is an adult health nurse practitioner in Scottsdale, AZ. MOUNTAIN VISTA PAIN MANAGEMENT LLC NPI is 1629499421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1375 N SCOTTSDALE RD
STE 180
SCOTTSDALE, AZ
ZIP 85257-411
Phone: (480) 874-9800
Fax: (480) 874-9804

The provider's authorized official is Adam Downs .
The authorized official title is Ceo and has the following contact phone number (480) 874-9800.

The enumeration date for this NPI number is 12/20/2013 and was last updated on 12/20/2013.

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	363LA2200X	Nurse Practitioner	Adult Health		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP2495	OTHER	ARIZONA	STATE LICENCE

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

NPI Synchronization or Removal

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