COLLEEN YVONNE MACE NPI 1891824389

NPI Information

NPI: 1891824389
Provider Name: COLLEEN YVONNE MACE
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
7301 N 58TH AVE
GLENDALE, AZ
ZIP 85301
Phone: (623) 842-8148
Get Directions

Colleen Yvonne Mace is a school registered nurse in Glendale, AZ. Colleen Yvonne Mace NPI is 1891824389. 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:

7301 N 58TH AVE
GLENDALE, AZ
ZIP 85301-893
Phone: (623) 842-8148
Fax: (623) 435-9404

The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	RN057424	ARIZONA	Yes

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
1	686818	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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