Provider Demographics
NPI:1851637243
Name:NDHLOVU, SILILE FEIN (LPN)
Entity Type:Individual
Prefix:
First Name:SILILE
Middle Name:FEIN
Last Name:NDHLOVU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SILILE
Other - Middle Name:PRECIOUS
Other - Last Name:DUBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:2680 S VAL VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-2152
Mailing Address - Country:US
Mailing Address - Phone:480-345-6668
Mailing Address - Fax:
Practice Address - Street 1:2680 S VAL VISTA DR BLDG 10
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2152
Practice Address - Country:US
Practice Address - Phone:480-345-6668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20902164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse