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Joseph Demichele, RN

Registered Nurse, School in Prescott Valley, AZ. Individual provider (NPI-1).

NPI number1669711271
StatusActive
Last updated in NPPESFeb 4, 2013

Details

NPI
1669711271
Entity type
Individual (NPI-1)
Name
Mr. Joseph Demichele
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 4, 2013
Last updated
Feb 4, 2013

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 codeDescriptionLicenseStatePrimary
163WS0200X Registered Nurse, SchoolRN169380AZYes

Practice location

6411 N Robert Rd
Room 416
Prescott Valley, AZ 86314-9146

Phone 928-759-4042 · Fax 928-759-4030

Mailing address

6411 N Robert Rd
Room 416
Prescott Valley, AZ 86314-9146

Phone 928-853-0155

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.

Other School Registered Nurse providers in Prescott Valley, AZ

All 27 School Registered Nurse providers in Prescott Valley · All 972 providers in Prescott Valley

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