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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942207329 | NPPES |
| Arizona | Other | 1Z6510 | HEALTHNET |
| Arizona | Other | 500025788 | HEALTHNET |
| Arizona | MEDICAID | 695421 | HEALTHNET |
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