Shirley King
Registered Nurse in Avondale, AZ. Individual provider (NPI-1).
NPI number1164601712
StatusActive
Last updated in NPPESOct 31, 2007
Details
- NPI
- 1164601712
- Entity type
- Individual (NPI-1)
- Name
- Shirley King
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2007
- Last updated
- Oct 31, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN035406 | AZ | Yes |
Practice location
1252 S Avondale BlvdAvondale, AZ 85323-8900
Phone 623-478-5600
Mailing address
1252 S Avondale BlvdAvondale, AZ 85323-8900
Phone 623-478-5600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Registered Nurse providers in Avondale · All 2,059 providers in Avondale
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