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Nurse Practitioner Guild, INC

Nurse Practitioner, Psych/Mental Health in Cottonwood, AZ. Organization (NPI-2).

NPI number1336364728
StatusActive
Last updated in NPPESNov 19, 2007

Details

NPI
1336364728
Entity type
Organization (NPI-2)
Legal business name
Nurse Practitioner Guild, INC
Organization subpart
No
Enumeration date
Apr 13, 2007
Last updated
Nov 19, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthRN034491AZYes

Practice location

601 W Mingus Ave
Cottonwood, AZ 86326-4075

Phone 928-649-3805

Mailing address

Po Box 3125
Cottonwood, AZ 86326-2590

Phone 928-649-3805

Authorized official

Suzanne Rae Salem
Nurse Practitioner, President
9286493805

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Cottonwood, AZ

All 5 Psychiatric/Mental Health Nurse Practitioner providers in Cottonwood · All 812 providers in Cottonwood

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