Individual provider · Type 1 NPI

Carmella Renae Staley, LPN

Licensed Practical Nurse · Apache Junction, AZ

NPI number 1063555191 Active

Practice location

1575 W Southern Ave
Apache Junction, AZ 85220-7456

Fax (480) 474-8370

Mailing address

5735 E Mcdowell Rd Lot 343
Mesa, AZ 85215-1448

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP033913 (AZ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6 other providers at this address

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About NPI 1063555191

Carmella Renae Staley, LPN's National Provider Identifier is 1063555191, issued on Feb 15, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Apache Junction, AZ. The record was last updated on Jul 8, 2007.