Carol Ann Bodman in Lake Havasu City - School
Carol Ann Bodman - NPI 1760689517
Carol Ann Bodman is a School in Lake Havasu City, Arizona. Carol Ann Bodman practices all healthcare services and medical treatments related to School. The NPI Number for Carol Ann Bodman is 1760689517. The last update date is 2007-07-09.
Carol Ann Bodman's current location address is 2200 Havasupai Blvd, Lake Havasu City, Arizona. You can contact this provider via phone number 9285056911 and fax number 9285056991. The mailing address for Carol Ann Bodman is 2200 Havasupai Blvd, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Ann Bodman |
|---|---|
| Address | 2200 Havasupai Blvd, Lake Havasu City, Arizona |
| Phone Number | 9285056911 |
| Fax Number | 9285056991 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1760689517 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2200 Havasupai Blvd |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864033122 |
| Phone Number | 9285056911 |
| Fax Number | 9285056991 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 163Ws0200X |
| Licence No | RN086484 |
|
Definition: A registered nurse based at an elementary, middle or high school providing health services to students. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 566119 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carol Ann Bodman by the Centers for Medicare & Medicaid Services (CMS)?
The Carol Ann Bodman has been assigned the NPI (National Provider Identifier) 1760689517. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Carol Ann Bodman?
The Carol Ann Bodman is physically situated at 2200 Havasupai Blvd, in the city of Lake Havasu City, state of AZ, with the postal code 864033122.
What is the Carol Ann Bodman's specialty and taxonomy code?
The Carol Ann Bodman's specialty is School, and the corresponding taxonomy code is 163Ws0200X.
On what date did the Carol Ann Bodman receive its 1760689517 assignment from the Centers for Medicare & Medicaid Services?
The Carol Ann Bodman was assigned its 1760689517 by the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the details pertaining to Carol Ann Bodman last refreshed?
The information related to the Carol Ann Bodman, including its address, specialty, and other relevant details, was last updated on 2007-07-09.