Nola Jean Naha, RN

Individual provider Active NPI Infection Control Registered Nurse · Polacca, AZ

NPI 1639384886 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1639384886
Entity type
Individual (NPI type 1)
Primary specialty
Infection Control Registered Nurse 163WI0600X
License
RN069234 (AZ)
Practice address
Hwy 264 Mile Marker 388
Polacca, AZ 86042-4000
Phone
(928) 737-6260
Fax
(928) 737-6001
NPI assigned
May 11, 2007
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN069234AZMDInfection Control Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X RN069234 AZ Yes

Addresses

Primary practice location

Hwy 264 Mile Marker 388
Polacca, AZ 86042-4000

Mailing address

PO Box 4000
Hwy 264 Mile Marker 388
Polacca, AZ 86042-4000
Phone (928) 737-6260

Other providers in Polacca, AZ

All providers in Polacca, AZ · Infection Control Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.