MS. MARIDOL MACIAS BERCILLA LVN
NPI 1629789581
Licensed Vocational Nurse in Prescott Valley, AZ

Active since December 12, 2022
6101 N TOWER LN APT A, PRESCOTT VALLEY, AZ 86314(909) 856-7717 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Maridol Macias Bercilla Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIDOL MACIAS BERCILLA LVN (NPI 1629789581) is an individual licensed vocational nurse in Prescott Valley, Arizona, licensed in California (273763) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1629789581
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMS. MARIDOL MACIAS BERCILLACredential: LVN
Location Address6101 N TOWER LN APT APrescott Valley, AZ 86314-3198
Mailing Address6101 N Tower Ln Apt APrescott Valley, AZ 86314-3198 · (909) 856-7717
Sole ProprietorYes
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 11, 2022
NPI 1629789581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 273763
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

6101 N TOWER LN APT A, Prescott Valley, AZ 86314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maridol Bercilla's NPI number?

The NPI number for Maridol Bercilla is 1629789581. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Maridol Bercilla located?

Maridol Bercilla practices at 6101 N Tower Ln Apt A, Prescott Valley, AZ 86314. The listed phone number is (909) 856-7717.

What is Maridol Bercilla's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Maridol Bercilla was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.