Provider Demographics
NPI:1427183375
Name:YUMA SCHOOL DISTRICT ONE
Entity Type:Organization
Organization Name:YUMA SCHOOL DISTRICT ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE-SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DELORA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:DELOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:928-783-6626
Mailing Address - Street 1:450 W. 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364
Mailing Address - Country:US
Mailing Address - Phone:928-783-6626
Mailing Address - Fax:
Practice Address - Street 1:450 W 5TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364
Practice Address - Country:US
Practice Address - Phone:928-726-6309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN120083163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ152374OtherAHCCCS PROVIDER ID