Struck, Patricia A

Struck, Patricia A is an individual health care provider with primary practice located at 12361 W Bola Dr Ste 100 , Surprise AZ 85378-9021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Struck, Patricia A can be contacted via phone (602) 641-9486.

Contact Information

Primary practice address
12361 W Bola Dr Ste 100 Surprise AZ 85378-9021
Phone: (602) 641-9486
Fax: (480) 500-8430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN059474 Arizona

Profile Details

NPI number 1942207329
LBN Legal business name Struck, Patricia A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942207329 NPPES
Arizona Other 1Z6510 HEALTHNET
Arizona Other 500025788 HEALTHNET
Arizona MEDICAID 695421 HEALTHNET

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