Your Nurse Practitioner LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN039594 Issued in AZ

Legal business name

YOUR NURSE PRACTITIONER LLC

Practice address

6261 Boothwyn St
Prescott Valley, AZ 86314-6726

Phone

(928) 775-9057

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Patricia Ann Nawrocki, ANP-BC,GNP-BC

Title

Jurse Practitioner

Phone

(928) 775-9057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1346504818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261BOOTHWYN STREET",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146726",
            "telephone_number": "928-775-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 BOOTHWYN ST",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146726",
            "telephone_number": "928-775-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NURSE PRACTITIONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "NAWROCKI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "JURSE PRACTITIONER",
        "authorized_official_telephone_number": "928-775-9057",
        "authorized_official_credential": "ANP-BC,GNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RN039594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Zagarella, FNP
• Richard William Zapfe, DDS

• Gerontology Nurse Practitioner in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.