Pichon-Tadlock, Karen Lee

Pichon-Tadlock, Karen Lee is an individual health care provider with primary practice located at 10237 W Encanto Blvd , Avondale AZ 85323-4702. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Pichon-Tadlock, Karen Lee can be contacted via phone (623) 772-2674.

Contact Information

Primary practice address
10237 W Encanto Blvd Avondale AZ 85323-4702
Phone: (623) 772-2674
Fax: (623) 478-1972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RV116136 Arizona

Profile Details

NPI number 1558583419
LBN Legal business name Pichon-Tadlock, Karen Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 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 1558583419 NPPES
Arizona Other 988503 AHCCCS

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