ELIZA JUAN (NPI# 1467487272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467487272 |
| Entity Type | Individual |
| Full Name | ELIZA JUAN |
| Practice Address |
3100 N 1st Ave Tucson AZ 85719-2513 |
| Mailing Address |
127 S 5th Ave Tucson AZ 85701-2005 |
| Practice Telephone | 5203274505 |
| Practice Fax Number | 5202021889 |
| Mailing Telephone | 5203274505 |
| Mailing Fax Number | 5202021889 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP006088 | AZ | Nursing Service Providers |
| Street Address |
3100 N 1ST AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487680146 | Dawn Florence Crawford-rogers | Social Worker | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-06-24 |
| 1245644558 | Chang Wook Lee | Counselor | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2014-06-13 |
| 1730475195 | Myrna Garcia | Counselor | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2011-06-23 |
| 1245523976 | Kimberly Schulz | Counselor | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2011-05-27 |
| 1619163656 | Kenneth Richard Jones | Nurse's Aide | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2007-09-24 |
| 1487840591 | Nina Perrette | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2007-09-21 |
| 1780605568 | Lina A. Rosin | Nurse Practitioner | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-21 |
| 1447275458 | Ilaann White | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-12 |
| 1578598389 | Diana Williams | Licensed Practical Nurse | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-11 |
| 1487687182 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 3100 N 1st Ave, Tucson, AZ 85719-2513 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540941 | Allison Renee Moore-crum | Licensed Practical Nurse | 8174 N Plantation Pl, Tucson, AZ 85741-4038 | 2019-07-17 |
| 1881253284 | Melody J Detwiller | Licensed Practical Nurse | 3601 S 6th Ave Bldg 802, Tucson, AZ 85723-0001 | 2019-06-10 |
| 1841772159 | Mary E Shaffer | Licensed Practical Nurse | 6557 E 12th St, Tucson, AZ 85710-1008 | 2018-09-04 |
| 1265935910 | Carlos H Blancarte Sr. | Licensed Practical Nurse | 268 E River Rd Ste 150, Tucson, AZ 85704-5844 | 2018-03-08 |
| 1750890190 | Patricia Ruane | Licensed Practical Nurse | 1082 E Ajo Way # 100, Tucson, AZ 85713-5051 | 2017-09-28 |
| 1184015109 | Dorothea Leonis Weber | Licensed Practical Nurse | 1010 East 10th Street, Tucson Unified School District, Tucson, AZ 85719 | 2015-02-12 |
| 1942607338 | Benita Chilikwela | Licensed Practical Nurse | 1402 N Alvernon Way, Suite S3, Tucson, AZ 85712-3804 | 2014-12-01 |
| 1912307794 | Jose Lugo | Licensed Practical Nurse | 102 N. Plummer Ave., Tucson, AZ 85719 | 2014-08-28 |
| 1821433418 | Lori Ann Harmsen | Licensed Practical Nurse | 9111 E Broadway Blvd Apt 8101, Tucson, AZ 85710-3084 | 2013-05-08 |
| 1053755223 | Kristen Michelle Molander | Licensed Practical Nurse | 9018 N Palm Brook Dr, Tucson, AZ 85743-8923 | 2013-04-18 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.