Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pops Provisional Place LLC

Organization Licensed Practical Nurse · NPI 1952820557

Pops Provisional Place LLC is a Licensed Practical Nurse in Buckeye, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29741 W Amelia Ave
Buckeye, AZ 85396-7169
Phone: (623) 693-3112
Fax: (623) 434-3882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 044613 (AZ)

Record details

NPI number1952820557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcia Crayton — Administrator · (623) 693-3112
NPI enumeratedSeptember 14, 2017
Last updated in NPPESJuly 21, 2022
Mailing address29741 W Amelia Ave, Buckeye, AZ 85396-7169

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