Virginia Prendergast


Address: 1424 E Marshall Ave, Phoenix, AZ 85014-2358

Virginia Prendergast (NPI# 1578633657, PAC ID# 8527374453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1578633657
PAC ID by PECOS 8527374453
Professional Enrollment ID I20150908002412
Full Name Virginia Prendergast
Address 1424 E Marshall Ave
Phoenix
AZ 85014-2358
Gender F
Graduation Year 1995
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1424 E Marshall Ave, Phoenix, AZ 85014-2358

Organization Information

Office Location

Street Address 1424 E MARSHALL AVE
City PHOENIX
State AZ
Zip 85014-2358

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Competitor

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City PHOENIX
Zip Code 85014
Specialty NURSE PRACTITIONER
City + Specialty PHOENIX + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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