Individual
CAYLA ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3022 W CAMPBELL AVE, PHOENIX, AZ 85017-4146
(602) 589-0110
(602) 589-0140
Mailing address
3022 W CAMPBELL AVE, PHOENIX, AZ 85017-4146
(602) 589-0110
(602) 589-0140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN007565
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
572752
AHCCCS ID
AZ
Enumeration date
01/30/2007
Last updated
07/08/2007
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