Nichole A King
Nursing Home Administrator in Phoenix, AZ. Individual provider (NPI-1).
NPI number1437802162
StatusActive
Last updated in NPPESFeb 2, 2022
Details
- NPI
- 1437802162
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nichole A King
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Feb 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | Alm012210 | AZ | Yes |
Practice location
2577 W Greenway RdPhoenix, AZ 85023-4308
Phone 602-375-1777 · Fax 602-993-0588
Mailing address
2577 W Greenway RdPhoenix, AZ 85023-4308
Phone 602-375-1777 · Fax 602-993-0588
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