Individual provider · Type 1 NPI

Divina Flamingarrow

Licensed Practical Nurse · Mesa, AZ

NPI number 1629444807 Active

Practice location

1025 N Country Club Dr
Mesa, AZ 85201-3307

Mailing address

960 N Gilbert Rd, Apt 218
Gilbert, AZ 85234-3319

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP037535 (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.

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About NPI 1629444807

Divina Flamingarrow's National Provider Identifier is 1629444807, issued on Aug 11, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 11, 2015.