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POPS PROVISIONAL PLACE LLC
NPI 1952820557
Licensed Practical Nurse in Buckeye, AZ

Active since September 14, 2017
29741 W AMELIA AVE, BUCKEYE, AZ 85396(623) 693-3112(623) 434-3882 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Pops Provisional Place Llc NPPES

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

POPS PROVISIONAL PLACE LLC (NPI 1952820557) is a healthcare organization registered as a licensed practical nurse in Buckeye, Arizona and active in the NPI registry since September 2017. The organization lists Marcia Dianne Crayton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952820557
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NamePOPS PROVISIONAL PLACE LLC
Location Address29741 W AMELIA AVEBuckeye, AZ 85396-7169
Mailing Address29741 W Amelia AveBuckeye, AZ 85396-7169 · (623) 693-3112 · Fax (623) 434-3882
Phone(623) 693-3112
Fax(623) 434-3882
Organization SubpartNo
Authorized OfficialMarcia Dianne CraytonAdministrator · (623) 693-3112
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1952820557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AZ · 044613
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
29741 W AMELIA AVE, Buckeye, AZ 85396
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pops Provisional Place LLC's NPI number?

The NPI number for Pops Provisional Place LLC is 1952820557. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Pops Provisional Place LLC located?

Pops Provisional Place LLC is located at 29741 W Amelia Ave, Buckeye, AZ 85396. The listed phone number is (623) 693-3112.

What is Pops Provisional Place LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Pops Provisional Place LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.