IndividualActive
Correena Duckworth
NPI 1700397635 · Emergency Registered Nurse · Polacca, AZ
Provider details
- NPI number
- 1700397635
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN123469 (GA)
Mailing address
Highway 264 Milepost 388
Polacca, AZ 86042
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2017-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.