# FOUR PEAKS ELEMENTARY SCHOOL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740302728
- **Authorized official:** MRS. KIMBERLY PAM DICKERSON L.P.N. (SCHOOL NURSE)
- **Authorized official phone:** (480) 982-1110

## Contact information

- **Practice address:** 1755 N IDAHO RD, APACHE JUNCTION, AZ 85219-1716
- **Practice address phone:** (480) 982-1110
- **Mailing address:** 4126 N COLT RD, APACHE JUNCTION, AZ 85219-9643
- **Mailing address phone:** (480) 516-9332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | AZ | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020