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Reuben Diachenko, RN
Emergency Registered Nurse in Fort Defiance, Arizona
NPI 1871202523

Reuben Diachenko is a Emergency Registered Nurse based in Henderson, AZ and is specialized in Emergency. Reuben Diachenko practices in Fort Defiance, AZ and has the professional credentials of RN. The NPI Number for Reuben Diachenko is 1871202523 and holds a License No. 211930 (Arizona).

The current practice location address for Reuben Diachenko is Corner Of Routes N12 & N7, Fort Defiance, AZ and can be reached out via phone at 928-729-8600.

Location: Corner Of Routes N12 & N7, Fort Defiance, AZ, 89014-2069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871202523
Provider Name
Reuben Diachenko
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
Corner Of Routes N12 & N7, Fort Defiance, AZ, 89014-2069
Phone Number
928-729-8600
Fax Number
Provider Enumeration Date
11/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
211930 01 SC SOUTH CAROLINA STATE BOARD OF NURSING (COMPACT LICENSE)
institution
Provider Business Practice Location Address Details
Address
Corner Of Routes N12 & N7
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8600
Fax Number
person
Provider Business Mailing Address Details
Address
Corner Of Routes N12 & N7
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
211930 (South Carolina)
Definition
Definition to come...
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