Most Relevant Information
Provider Data
| NPI Number: | 1003240490 |
| Provider Name: | ELISHA PERKINS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP031854 |
Most Important Dates
| Enumeration Date: | 08/21/2013 |
| Last Updated: | 08/21/2013 |
Provider Practice Location
6330 W THUNDERBIRD RD
GLENDALE
AZ
853064002
Practice Location Phone/Fax
| Phone: | 6234875189 |
| Fax: |
Provider Mailing Location
6330 W THUNDERBIRD RD
GLENDALE
AZ
853064002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |