Individual provider · Type 1 NPI
Fedelis Fondungallah
Nurse's Aide · Avondale, AZ
Practice location
11851 W Kinderman Dr
Avondale, AZ 85323-9115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant | 3747P1801X | None listed |
| Nurse's Aide Primary | 376K00000X | None listed |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
Other nurse's aide providers in Avondale
About NPI 1679403190
Fedelis Fondungallah's National Provider Identifier is 1679403190, issued on May 19, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Avondale, AZ. The record was last updated on May 19, 2026.