Misty Aguilar

Individual provider Active NPI School Registered Nurse · Prescott Valley, AZ

NPI 1124432083 · NPPES record last updated Sep 6, 2022

Key facts

NPI
1124432083
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN133574 (AZ)
Practice address
6901 Panther Path
Prescott Valley, AZ 86314-2252
Phone
(928) 759-4040
NPI assigned
Jun 18, 2014
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
RN133574AZMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AZ
School Registered Nurse 163WS0200X RN133574 AZ Yes

Addresses

Primary practice location

6901 Panther Path
Prescott Valley, AZ 86314-2252

Mailing address

PO Box 1103
Chino Valley, AZ 86323-1103
Phone (928) 379-1024

Other providers in Prescott Valley, AZ

All providers in Prescott Valley, AZ · School Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.