Organization
DAN NURSE PRACTITIONER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN NICHOLS FNP (PRINCIPAL OFFICER)
(928) 595-1176
Entity
Organization
Contact information
Practice address
200 W FRONTIER ST, SUITE M, PAYSON, AZ 85541-5362
(928) 595-1176
(928) 478-6206
Mailing address
200 W. FRONTIER, SUITE M, PAYSON, AZ 85541-7443
(928) 595-1176
(928) 478-6206
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
AP1489
AZ
310400000X
Assisted Living Facility
AP1489
AZ
314000000X
Skilled Nursing Facility
AP1489
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
AP1489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70871
MEDICARE ID NUMBER
AZ
Enumeration date
01/15/2011
Last updated
02/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us