Individual provider · Type 1 NPI

Brenda Lacey Moles, RN

Registered Nurse · Prescott, AZ

NPI number 1821322504 Active

Practice location

146 S Granite St
Prescott, AZ 86303-4710

Fax (928) 717-3275

Mailing address

620 Lester Dr
Prescott, AZ 86301-5371

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XAZ9203 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1821322504

Brenda Lacey Moles, RN's National Provider Identifier is 1821322504, issued on Sep 28, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Prescott, AZ. The record was last updated on Sep 28, 2009.