Carmella Renae Staley in Apache Junction - Licensed Practical Nurse
Carmella Renae Staley - NPI 1063555191
Carmella Renae Staley is a Licensed Practical Nurse in Apache Junction, Arizona. Carmella Renae Staley practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Carmella Renae Staley is 1063555191. The last update date is 2007-07-08.
Carmella Renae Staley's current location address is 1575 W Southern Ave, Apache Junction, Arizona. You can contact this provider via phone number 4809821110 and fax number 4804748370. The mailing address for Carmella Renae Staley is 1575 W Southern Ave, Apache Junction, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmella Renae Staley |
|---|---|
| Address | 1575 W Southern Ave, Apache Junction, Arizona |
| Phone Number | 4809821110 |
| Fax Number | 4804748370 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1063555191 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1575 W Southern Ave |
|---|---|
| City | Apache Junction |
| State | Arizona (AZ) |
| Post Code | 852207456 |
| Phone Number | 4809821110 |
| Fax Number | 4804748370 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LP033913 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identification code assigned to Carmella Renae Staley by the Centers for Medicare & Medicaid Services?
The Carmella Renae Staley has been issued the NPI (National Provider Identifier) 1063555191. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carmella Renae Staley's facilities are geographically located?
The facilities of Carmella Renae Staley are physically situated at the following location: 1575 W Southern Ave, Apache Junction, AZ, 852207456.
What is Carmella Renae Staley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carmella Renae Staley is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063555191 to Carmella Renae Staley?
The Carmella Renae Staley received its 1063555191 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the information regarding Carmella Renae Staley most recently updated?
The details pertaining to the Carmella Renae Staley, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC