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Mrs. Luella Pauline Martin, LPN
Licensed Practical Nurse in El Mirage, Arizona
NPI 1851420657

Luella Pauline Martin is a Licensed Practical Nurse based in Surprise, AZ. Luella Pauline Martin practices in El Mirage, AZ and has the professional credentials of LPN. The NPI Number for Luella Pauline Martin is 1851420657 and holds a License No. LP039599 (Arizona).

The current practice location address for Luella Pauline Martin is 11800 W Thompson Ranch Rd, El Mirage, AZ and can be reached out via phone at 623-523-8404 and via fax at 623-523-8411.

Location: 11800 W Thompson Ranch Rd, El Mirage, AZ, 85374-6887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851420657
Provider Name
Luella Pauline Martin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
11800 W Thompson Ranch Rd, El Mirage, AZ, 85374-6887
Phone Number
623-523-8404
Fax Number
623-523-8411
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
897043 05 AZ
institution
Provider Business Practice Location Address Details
Address
11800 W Thompson Ranch Rd
City
El Mirage
State
Arizona
Zip
85335-3208
Phone Number
623-523-8404
Fax Number
623-523-8411
person
Provider Business Mailing Address Details
Address
11800 W Thompson Ranch Rd
City
El Mirage
State
Arizona
Zip
85335-3208
Phone Number
623-523-8404
Fax Number
623-523-8411
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP039599 (Arizona)
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 responsibilities vary among the states.
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