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VIRGINIA PRENDERGAST NP
NPI 1578633657
Nurse Practitioner - Adult Health in Phoenix, AZ

Active since November 08, 2006
1424 E MARSHALL AVE, PHOENIX, AZ 85014(480) 220-4688(602) 406-4969 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia Prendergast Np NPPES

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

VIRGINIA PRENDERGAST NP (NPI 1578633657) is an individual adult health provider in Phoenix, Arizona, licensed in Arizona (AP6877) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1578633657
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVIRGINIA PRENDERGASTCredential: NP
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
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateNovember 3, 2015
✔ NPI 1578633657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · AP6877
Also ListedRegistered NurseTaxonomy 163W00000X · License RN039088 (AZ)
1424 E MARSHALL AVE, Phoenix, AZ 85014
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZ179864AZ

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 LLC
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's NPI number?

The NPI number for Virginia Prendergast is 1578633657. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Virginia Prendergast located?

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

What is Virginia Prendergast'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 was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.