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NPI 1164267621 · Licensed Vocational Nurse · Mesa, AZ
Provider details
- NPI number
- 1164267621
- Entity type
- Organization
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Amarachi Onyeforo, Administrator(480) 310-7411
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3707 E Southern Ave Ste 2064
Mesa, AZ 85206-6218
Phone: (480) 310-7411
Street-level locationGet directions
Mailing address
3707 E Southern Ave Ste 2064
Mesa, AZ 85206-6218
Registry dates
- Enumerated
- 2024-06-26
- Last updated
- 2024-06-26
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.