Lucy Charlene Nichols
Nursing Care in Parker, AZ. Organization (NPI-2).
NPI number1457745879
StatusActive
Last updated in NPPESMar 24, 2015
Details
- NPI
- 1457745879
- Entity type
- Organization (NPI-2)
- Legal business name
- Lucy Charlene Nichols
- Organization subpart
- No
- Enumeration date
- Mar 24, 2015
- Last updated
- Mar 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | 763170 | TX | Yes |
Practice location
12033 Agency RdParker, AZ 85344-7718
Phone 928-669-2137 · Fax 928-669-3131
Mailing address
12033 Agency RdParker, AZ 85344-7718
Phone 928-669-2137 · Fax 928-669-3232
Authorized official
Lucy Charlene Nichols
Travel Rn
3184031322
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