| Andrew Agullard, | |
|
496 Karen Dr, Prescott, AZ 86303-5426 | |
| (480) 689-2027 | |
| Not Available |
| Full Name | Andrew Agullard |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 496 Karen Dr, Prescott, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073944831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP048089 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Agullard, 496 Karen Dr, Prescott, AZ 86303-5426 Ph: (480) 689-2027 | Andrew Agullard, 496 Karen Dr, Prescott, AZ 86303-5426 Ph: (480) 689-2027 |
Ms. Kathleen B Harris, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 Highway 89 North, N Az Va Health Care System, Prescott, AZ 86313 Phone: 928-445-4860 | |
Mr. James Michael Townsel, LPN, LMT Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-445-4860 | |
Ms. Carol Leigh Roberts, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 Highway 89 North, Prescott, AZ 86313 Phone: 928-445-4860 |