KIMBERLY SUE CLEMENS LPN - NPI 1962066548 - Licensed Practical Nurse in Peoria, AZ

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Kimberly Sue Clemens Lpn NPPES

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

KIMBERLY SUE CLEMENS LPN (NPI 1962066548) is an individual licensed practical nurse in Peoria, Arizona, licensed in Arizona (LP054127) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1962066548

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMBERLY SUE CLEMENSCredential: LPN

Location Address9880 N 77TH AVEPeoria, AZ 85345-6667

Mailing Address9880 N 77th AvePeoria, AZ 85345-6667 · (623) 486-6479

Phone(623) 486-6479

Sole ProprietorNo

Enumeration DateApril 29, 2019

✔ NPI 1962066548 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 · LP054127

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.

9880 N 77TH AVE, Peoria, AZ 85345

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