1306419056 NPI number — PREMIER MEDICAL INTEGRATION LLC

Table of content: DELANEY ELISABETH PROVENZA PA (NPI 1750957262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306419056 NPI number — PREMIER MEDICAL INTEGRATION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER MEDICAL INTEGRATION LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306419056
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11030 N TATUM BLVD STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85028-6073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-369-4409
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11030 N TATUM BLVD STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85028-6073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-369-4409
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2021

Additional Information

Authorized Official

Authorized Official Last Name:
MCFARLANE
Authorized Official First Name:
LAURIE
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
602-369-4409

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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