Individual provider · NPI-1
Michael Perez, ADN,RN
Technician, Attendant Care Provider · Glendale, AZ
NPI number1780518308
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1780518308
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Perez
- Credential
- ADN,RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2026
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | AZ | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | AZ | |
| 376J00000X | Homemaker | – | AZ | |
| 372600000X | Adult Companion | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
11404 N 58th DrGlendale, AZ 85304-3313
Phone 442-471-4559
Mailing address
11404 N 58th DrGlendale, AZ 85304-3313
Phone 442-471-4559
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