Corley, Ethel Roberts

Corley, Ethel Roberts is an individual health care provider with primary practice located at 6615 E Cholla St , Scottsdale AZ 85254-5039. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Corley, Ethel Roberts can be contacted via phone (480) 484-4411.

Contact Information

Primary practice address
6615 E Cholla St Scottsdale AZ 85254-5039
Phone: (480) 484-4411
Fax: (480) 484-4401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN069399 Arizona

Profile Details

NPI number 1750433801
LBN Legal business name Corley, Ethel Roberts
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750433801 NPPES
Arizona Other 882937 AHCCCS

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