IndividualActive
Maridol Bercilla, LVN
NPI 1629789581 · Licensed Vocational Nurse · Prescott Valley, AZ
Provider details
- NPI number
- 1629789581
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 273763 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
6101 N Tower Ln Apt a
Prescott Valley, AZ 86314-3198
Phone: (909) 856-7717
Approximate (ZIP-level) locationGet directions
Mailing address
6101 N Tower Ln Apt a
Prescott Valley, AZ 86314-3198
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2022-12-12
- Certified
- 2022-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.