Individual provider · Type 1 NPI
Brenda Lou Livengood
School Registered Nurse · Glendale, AZ
NPI number
1689702888
Active
Practice location
6216 W Glendale Ave
Glendale, AZ 85301-2308
Fax (623) 435-6270
Mailing address
10955 N 79th Ave Lot 99
Peoria, AZ 85345-5974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 089041 (AZ) |
School Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1689702888
Brenda Lou Livengood's National Provider Identifier is 1689702888, issued on Mar 1, 2007. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Glendale, AZ. The record was last updated on Jul 9, 2007.