Individual provider · Type 1 NPI

Lacy Berkshire

Licensed Practical Nurse · Fort Huachuca, AZ

NPI number 1730548637 Active

Practice location

2240 Winrow Rd, Usa Meddac, Rwbahc
Fort Huachuca, AZ 85631

Mailing address

2240 Winrow Ave, Usa Meddac, Rwbahc
Fort Huachuca, AZ 85613

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP042484 (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 1730548637

Lacy Berkshire's National Provider Identifier is 1730548637, issued on Feb 19, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Huachuca, AZ. The record was last updated on May 6, 2016.