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VIRGINIA PRENDERGAST LLC
NPI 1295111987
Nurse Practitioner - Adult Health in Phoenix, AZ

Active since August 04, 2015
1424 E MARSHALL AVE, PHOENIX, AZ 85014(480) 220-4688(602) 406-4969 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia Prendergast Llc NPPES

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

VIRGINIA PRENDERGAST LLC (NPI 1295111987) is a healthcare organization registered as an adult health in Phoenix, Arizona and active in the NPI registry since August 2015. The organization lists Virginia Prendergast, Director, as its authorized official.

NPPES Registry Identity

NPI1295111987
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameVIRGINIA PRENDERGAST LLC
Location Address1424 E MARSHALL AVEPhoenix, AZ 85014-2358
Mailing Address1424 E Marshall AvePhoenix, AZ 85014-2358 · (480) 220-4688 · Fax (602) 406-4969
Phone(480) 220-4688
Fax(602) 406-4969
Organization SubpartNo
Authorized OfficialVirginia PrendergastDirector · (480) 220-4688
Enumeration DateAugust 4, 2015
✔ NPI 1295111987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · RN039088
1424 E MARSHALL AVE, Phoenix, AZ 85014
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA PRENDERGAST NP
Nurse Practitioner (Adult Health)
1424 E MARSHALL AVE
PHOENIX, AZ 85014
Maricopa County (480) 220-4688

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 Virginia Prendergast LLC's NPI number?

The NPI number for Virginia Prendergast LLC is 1295111987. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Virginia Prendergast LLC located?

Virginia Prendergast LLC is located at 1424 E Marshall Ave, Phoenix, AZ 85014. The listed phone number is (480) 220-4688.

What is Virginia Prendergast LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Virginia Prendergast LLC was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.