Luella Pauline Martin in El Mirage - Licensed Practical Nurse
Luella Pauline Martin - NPI 1851420657
Luella Pauline Martin is a Licensed Practical Nurse in El Mirage, Arizona. Luella Pauline Martin practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Luella Pauline Martin is 1851420657. The last update date is 2007-07-08.
Luella Pauline Martin's current location address is 11800 W Thompson Ranch Rd, El Mirage, Arizona. You can contact this provider via phone number 6235238404 and fax number 6235238411. The mailing address for Luella Pauline Martin is 11800 W Thompson Ranch Rd, El Mirage, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luella Pauline Martin |
|---|---|
| Address | 11800 W Thompson Ranch Rd, El Mirage, Arizona |
| Phone Number | 6235238404 |
| Fax Number | 6235238411 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1851420657 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11800 W Thompson Ranch Rd |
|---|---|
| City | El Mirage |
| State | Arizona (AZ) |
| Post Code | 853353208 |
| Phone Number | 6235238404 |
| Fax Number | 6235238411 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LP039599 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 897043 | AZ | -- |
Post Comment/ Review Below
What is the Luella Pauline Martin's 1851420657?
The Luella Pauline Martin's NPI (National Provider Identifier) Number is 1851420657. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Luella Pauline Martin?
The Luella Pauline Martin is physically situated at 11800 W Thompson Ranch Rd, in the city of El Mirage, state of AZ, with the postal code 853353208.
What is Luella Pauline Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Luella Pauline Martin is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851420657 to Luella Pauline Martin?
The Centers for Medicare & Medicaid Services originally issued the 1851420657 to Luella Pauline Martin on 2007-03-05.
As of what date was the information pertaining to Luella Pauline Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Luella Pauline Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.