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MR. TIMOTHY PRYOR LUCKETT REGISTERED NURSE NPI 1629266028


NPI Information

NPI: 1629266028
Provider Name: MR. TIMOTHY PRYOR LUCKETT, REGISTERED NURSE
Classification: Registered Nurse - 163WR0006X
Entity Type: Individual

Specialization: Registered Nurse First Assistant

Address:
14171 SHEPHERD DR
RANCHO CUCAMONGA, CA
ZIP 91739
Phone: (909) 268-2126
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MR. Timothy Pryor Luckett, REGISTERED NURSE is a registered nurse first assistant registered nurse in Rancho Cucamonga, CA. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. MR. Timothy Pryor Luckett, REGISTERED NURSE NPI is 1629266028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14171 SHEPHERD DR
RANCHO CUCAMONGA, CA
ZIP 91739-215
Phone: (909) 268-2126
Fax: (909) 899-8850

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WR0006XRegistered NurseRegistered Nurse First AssistantRN290090CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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