Organization
PRIOLA PRIMARY PALLIATIVE AND HOSPICE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PRIOLA FNP-C (OWNER)
(928) 778-0626
Entity
Organization
Contact information
Practice address
3105 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7166
(928) 778-0626
(888) 289-2598
Mailing address
3105 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7166
(928) 778-0626
(888) 289-2598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP3629
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407161235
NPI
AZ
05
—
575416
—
AZ
Enumeration date
06/21/2016
Last updated
07/21/2022
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