Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARIDOL MACIAS BERCILLA, LVN
Active Sole ProprietorMS. MARIDOL MACIAS BERCILLA, LVN is a Licensed Vocational Nurse healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1629789581 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · PRESCOTT VALLEY, AZ
Registration Details
- NPI Number
- 1629789581
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2022 (3.632212156216 yrs)
- Last Updated
- Dec 12, 2022
- License
-
273763 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6101 N TOWER LN APT APRESCOTT VALLEY, AZ, 863143198Browse AZ providers · Browse ZIP 86314
- Phone
- 9098567717
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.