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Pops Provisional Place Llc
Licensed Practical Nurse in Buckeye, Arizona
NPI 1952820557

Pops Provisional Place Llc is a Licensed Practical Nurse based in Buckeye, AZ. Pops Provisional Place Llc practices in Buckeye, AZ. The NPI Number for Pops Provisional Place Llc is 1952820557 and holds a License No. 044613 (Arizona).

The current practice location address for Pops Provisional Place Llc is 29741 W Amelia Ave, Buckeye, AZ and can be reached out via phone at 623-693-3112 and via fax at 623-434-3882.

Location: 29741 W Amelia Ave, Buckeye, AZ, 85396-7169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952820557
Provider Name
Pops Provisional Place Llc
Credential
Provider Entity Type
Organization
Address
29741 W Amelia Ave, Buckeye, AZ, 85396-7169
Phone Number
623-693-3112
Fax Number
623-434-3882
Provider Enumeration Date
09/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29741 W Amelia Ave
City
Buckeye
State
Arizona
Zip
85396-7169
Phone Number
623-693-3112
Fax Number
623-434-3882
person
Provider Business Mailing Address Details
Address
29741 W Amelia Ave
City
Buckeye
State
Arizona
Zip
85396-7169
Phone Number
623-693-3112
Fax Number
623-434-3882
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
044613 (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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