Nina Nettles

NPI #1124165469 in Phoenix, Arizona

Provider Information

NPI Number: 1124165469
Entity Type: Organization
Organization Name: Nina Nettles
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jan 30, 2007
Last Updated: Jun 16, 2008

Practice Location

Address: 3643 E EMILE ZOLA AVE
City: Phoenix
State: Arizona
ZIP Code: 85032-6219
Phone: (602) 867-7500

Authorized Official

Name: MRS. NINA FAE NETTLES
Title: ADMINISTRATOR
Phone: (602) 867-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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