Imani Board

NPI 1295571339 · on the registry since 2024

Practice

Address: 3104 E Camelback Rd # 2306
Phoenix, AZ 85016
Phone: (951) 877-3913
Organisation at this address: Certified Pa Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Nurse's Aide
376K00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona