Provider Demographics
NPI:1013602614
Name:LIGAYA, MILADY SOCORRO DEMA-ALA (RN)
Entity Type:Individual
Prefix:
First Name:MILADY SOCORRO
Middle Name:DEMA-ALA
Last Name:LIGAYA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MILADY SOCORRO
Other - Middle Name:SILVERIO
Other - Last Name:DEMA-ALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4805 W LEODRA LN
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6315
Mailing Address - Country:US
Mailing Address - Phone:623-760-7653
Mailing Address - Fax:
Practice Address - Street 1:4805 W LEODRA LN
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-6315
Practice Address - Country:US
Practice Address - Phone:623-760-7653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN091683163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice