Nurse Practitioner Guild, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN034491 Issued in AZ

Legal business name

NURSE PRACTITIONER GUILD, INC

Practice address

601 W Mingus Ave
Cottonwood, AZ 86326-4075

Phone

(928) 649-3805

NPI assigned

Apr 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Suzanne Rae Salem, N. P.

Title

Nurse Practitioner, President

Phone

(928) 649-3805

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1336364728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3125",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262590",
            "telephone_number": "928-649-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MINGUS AVE",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264075",
            "telephone_number": "928-649-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER GUILD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, PRESIDENT",
        "authorized_official_telephone_number": "928-649-3805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N. P."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN034491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.