CORREENA LORRAINE DUCKWORTH NPI 1700397635

NPI Information

  • NPI: 1700397635
  • Provider Name: CORREENA LORRAINE DUCKWORTH
  • Classification: Registered Nurse - 163WE0003X
  • Specialization: Emergency
  • Entity Type: Individual
  • Address: PO BOX 4000
    POLACCA, AZ
    ZIP 86042
  • Phone: (928) 737-6000

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NPI Details

Correena Lorraine Duckworth is an emergency registered nurse in Polacca, AZ. Correena Lorraine Duckworth NPI is 1700397635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PO BOX 4000
POLACCA, AZ
ZIP 86042-000
Phone: (928) 737-6000

The enumeration date for this NPI number is 10/18/2017 and was last updated on 10/18/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergencyRN123469GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020529MEDICAIDARIZONA

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: 3/30/2025

NPI Synchronization or Removal

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