Provider Demographics
NPI:1336474865
Name:YODER ZELEDON, ARLA ANN (RN)
Entity Type:Individual
Prefix:
First Name:ARLA
Middle Name:ANN
Last Name:YODER ZELEDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 S 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-3826
Mailing Address - Country:US
Mailing Address - Phone:602-452-6851
Mailing Address - Fax:
Practice Address - Street 1:1310 S 15TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-3826
Practice Address - Country:US
Practice Address - Phone:602-452-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN157211163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse