NPI 1154925568

Mihaela Prunean

Practitioner Assisted Living Facility Glendale, AZ

Practice location

Address: 6403 W Sandra Ter, Glendale, AZ 85306-1625
Phone: (623) 882-6545
Fax: (623) 537-4010

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL11643H (AZ)

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1154925568
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2020
Record last updated: 7 May 2021

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.