Nneka Agbaeze
Individual provider Active NPI Licensed Practical Nurse · Laveen, AZ
NPI 1700501426 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1700501426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LP053608 (AZ)
- Practice address
- 3535 W Hopi TRL
Laveen, AZ 85339-1408 - Phone
- (602) 741-7651
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP053608 | AZ | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| EMS Staffing Solutions | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | LP053608 | AZ | Yes |
Addresses
Primary practice location
3535 W Hopi TRL
Laveen, AZ 85339-1408
Mailing address
3535 W Hopi TRL
Laveen, AZ 85339-1408
Phone (602) 741-7651
Other providers in Laveen, AZ
- Adhearence, LLC
- Racquelle Adkisson
- Agape Home Assisted Living
- Agave Residential Care Home, LLC
- Ezekiel Agbaeze
- Agh Laveen LLC
- Irla Jasmine Aguilar
- Ali Abdulkadir Ahmed
- Akos Live
- Elmi Alasow
All providers in Laveen, AZ · Licensed Practical Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.