Laurie Joaquin

Individual provider Active NPI Nurse's Aide · Winterhaven, CA

NPI 1013162437 · NPPES record last updated Nov 26, 2008

Key facts

NPI
1013162437
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
CNA999947832 (AZ)
Practice address
One Indian Hill Road
Winterhaven, CA 92283
Phone
(760) 572-4156
Fax
(760) 572-2133
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CNA999947832AZMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA999947832 AZ Yes

Addresses

Primary practice location

One Indian Hill Road
Winterhaven, CA 92283

Mailing address

PO Box 1368
Yuma, AZ 85366-1368
Phone (760) 572-4156

Other providers in Winterhaven, CA

All providers in Winterhaven, CA · Nurse's Aide in California

Sources for this page

Verify at the official NPI Registry.