King, Nichole A

King, Nichole A is an individual health care provider with primary practice located at 2577 W Greenway Rd , Phoenix AZ 85023-4308. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. King, Nichole A can be contacted via phone (602) 375-1777.

Contact Information

Primary practice address
2577 W Greenway Rd Phoenix AZ 85023-4308
Phone: (602) 375-1777
Fax: (602) 993-0588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X ALM012210 Arizona

Profile Details

NPI number 1437802162
LBN Legal business name King, Nichole A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2022
Last updated Feb 2nd, 2022 - about 2 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 1437802162 NPPES
Arizona Other 81-860132 ASSISTED LIVING

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