NPI 1013579739
Nickes Medical Supply, LLC.
Practice location
- Address
- 5405 E Granite St Bldg 2527, Tucson, AZ 85707-3004
- Phone
- (520) 745-4681
- Fax
- (520) 745-4548
- Mailing address
- 2820 N Stanton St, El Paso, TX 79902-2509
Authorised official
- Name
- Ngozi Kathleen Austin-Eleje
- Title
- Owner/ Manager
- Phone
- (915) 533-8870
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1013579739
- Entity type
- Organization
- NPI issued
- 2 Jul 2019
- Record last updated
- 2 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.