TRIAD CLINIC PLLC
NPI 1174857791
Nurse Practitioner - Family in Glendale, AZ

Q: What is Triad Clinic PLLC's NPI number?

The NPI number for Triad Clinic PLLC is 1174857791. It was assigned to this organization in the NPPES registry on September 29, 2009.

Q: What is Triad Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Triad Clinic PLLC was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2009

4902 W IRONWOOD DR, GLENDALE, AZ 85302(602) 667-4636(480) 247-5551 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Triad Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIAD CLINIC PLLC (NPI 1174857791) is a healthcare organization registered as a family in Glendale, Arizona and active in the NPI registry since September 2009. The organization lists Daniel Knight, President, as its authorized official.

NPPES Registry Identity

NPI1174857791

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameTRIAD CLINIC PLLC

Location Address4902 W IRONWOOD DRGlendale, AZ 85302-2402

Mailing Address5350 W Bell Rd, Suite C-122-417Glendale, AZ 85308-3906 · (602) 667-4636 · Fax (480) 247-5551

Phone(602) 667-4636

Fax(480) 247-5551

Organization SubpartNo

Authorized OfficialDaniel KnightPresident · (602) 667-4636

Enumeration DateSeptember 29, 2009

Last NPPES UpdateNovember 4, 2010

✔ NPI 1174857791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP2115

Also ListedGeneral PracticeTaxonomy 208D00000X · License 3175 (AZ)

4902 W IRONWOOD DR, Glendale, AZ 85302

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Triad Clinic PLLC's NPI number?

The NPI number for Triad Clinic PLLC is 1174857791. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Triad Clinic PLLC located?

Triad Clinic PLLC is located at 4902 W Ironwood Dr, Glendale, AZ 85302. The listed phone number is (602) 667-4636.

What is Triad Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Triad Clinic PLLC was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.