FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC


Address: 2467 S Cliffview St, Flagstaff, AZ 86001-2989
Phone: 2088186181

FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC (NPI# 1376078303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376078303
Entity Type Organization
Organization Name FLAGSTAFF ADVANCED SURGICAL ASSISTANTS PLLC
Practice Address 2467 S Cliffview St
Flagstaff
AZ 86001-2989
Practice Telephone 2088186181
Mailing Telephone 2088186181
Enumeration Date 2017-04-27
Last Update Date 2017-04-27
Authorized Official Name NATHAN MOSS (OWNER)
Authorized Official Telephone 2088186181
Authorized Official Credential AGACNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP8631 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2467 S CLIFFVIEW ST
City FLAGSTAFF
State AZ
Zip Code 86001-2989

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1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
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1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356967020 Shay Linn Davis Nurse Practitioner 345 W Mount Elden Lookout Rd, Flagstaff, AZ 86001-3801 2020-06-18
1427516053 Alysa Patricia Held Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-03-02
1245743418 Chascity Monroe Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2017-11-09
1295268415 Laura Johnson Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001 2017-04-05
1356887640 Nathan Moss Agacnp-bc Pllc Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2017-01-11
1679018873 Flagstaff Intensive Care Specialists, Pllc Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001 2016-12-23
1588118111 Nathan Alan Moss Nurse Practitioner 1215 N Beaver St, Flagstaff, AZ 86001-3126 2016-08-11
1356709877 Erin Rasmussen Nurse Practitioner 2000 S Thompson St, Flagstaff, AZ 86001 2016-01-29
1114397957 Amy Kathryn Taylor Nurse Practitioner 2000 S Thompson St, Flagstaff, AZ 86001 2015-10-06
1326425935 Keith Wesley Kent Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001 2015-05-04
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Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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