NPI 1124878921 · live from the CMS NPI Registry
Laura Patricia Bly
Registered Nurse, School in Peoria, AZ. National Provider Identifier 1124878921, active.
NPI record
| NPI | 1124878921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, School 163WS0200X |
| Practice location | 8449 W Ross Ave, Peoria, AZ 85382 |
| Practice phone | 928-231-2662 |
| Enumerated | March 25, 2024 |
| Last updated | March 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gastroenterology | 163WG0100X | 166696 (AZ) |
| Registered Nurse, School primary | 163WS0200X | 166696 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.