Doctor Name: | MRS. NOLA JEAN NAHA |
NPI Number: | 1639384886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN069234 |
Business Practice Address: | Hwy 264 Mile Marker 388 Polacca, AZ - 860424000 |
Business Phone Number: | 9287376260 |
Business Fax Number: | 9287376001 |
Mailing Address: | Po Box 4000, Hwy 264 Mile Marker 388 POLACCA |
State: | AZ |
Postal Code: | 860424000 |
Phone Number: | 9287376260 |
Fax Number: | 9287376001 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WI0600X |
License Number: | RN069234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Infection Control |
Taxonomy Definition: |