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Brenda Lou Livengood
School Registered Nurse in Glendale, Arizona
NPI 1689702888

Brenda Lou Livengood is a School Registered Nurse based in Peoria, AZ and is specialized in School. Brenda Lou Livengood practices in Glendale, AZ. The NPI Number for Brenda Lou Livengood is 1689702888 and holds a License No. 089041 (Arizona).

The current practice location address for Brenda Lou Livengood is 6216 W Glendale Ave, Glendale, AZ and can be reached out via phone at 623-435-6230 and via fax at 623-435-6270.

Location: 6216 W Glendale Ave, Glendale, AZ, 85345-5974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689702888
Provider Name
Brenda Lou Livengood
Credential
Provider Entity Type
Individual
Gender
Female
Address
6216 W Glendale Ave, Glendale, AZ, 85345-5974
Phone Number
623-435-6230
Fax Number
623-435-6270
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
920076 05 AZ
institution
Provider Business Practice Location Address Details
Address
6216 W Glendale Ave
City
Glendale
State
Arizona
Zip
85301-2308
Phone Number
623-435-6230
Fax Number
623-435-6270
person
Provider Business Mailing Address Details
Address
6216 W Glendale Ave
City
Glendale
State
Arizona
Zip
85301-2308
Phone Number
623-435-6230
Fax Number
623-435-6270
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
089041 (Arizona)
Definition
Definition to come...
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