Nancy Ann Amore

Individual provider Active NPI Licensed Practical Nurse · Goodyear, AZ

NPI 1194015545 · NPPES record last updated Apr 19, 2011

Key facts

NPI
1194015545
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP045164 (AZ)
Practice address
15578 W Yuma Road
Goodyear, AZ 85338
Phone
(623) 932-7500
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
Yes

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
LP045164AZMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP045164 AZ Yes

Addresses

Primary practice location

15578 W Yuma Road
Goodyear, AZ 85338

Mailing address

15578 W Yuma Road
Goodyear, AZ 85338
Phone (623) 932-7500

Other providers in Goodyear, AZ

All providers in Goodyear, AZ · Licensed Practical Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.