Individual
JUDY TOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
255 E WIGWAM BLVD, LITCHFIELD PARK, AZ 85340
(623) 535-6100
Mailing address
255 E WIGWAM BLVD, LITCHFIELD PARK, AZ 85340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP052025
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP052025
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
09/23/2016
Last updated
09/23/2016
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