Balagot Mort, Dana Renee

Balagot Mort, Dana Renee is an sole proprietor health care provider with primary practice located at 8700 S Kyrene Rd , Tempe AZ 85284-2108. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Balagot Mort, Dana Renee can be contacted via phone (602) 599-3889.

Contact Information

Primary practice address
8700 S Kyrene Rd Tempe AZ 85284-2108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP045914 Arizona

Profile Details

NPI number 1013373281
LBN Legal business name Balagot Mort, Dana Renee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2016
Last updated Jan 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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