Provider Demographics
NPI:1295886331
Name:NADABURG ELEMENTARY DISTRICT
Entity type:Organization
Organization Name:NADABURG ELEMENTARY DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-388-2321
Mailing Address - Street 1:32919 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WITTMANN
Mailing Address - State:AZ
Mailing Address - Zip Code:85361-9433
Mailing Address - Country:US
Mailing Address - Phone:623-388-2321
Mailing Address - Fax:623-388-2204
Practice Address - Street 1:32919 W CENTER ST
Practice Address - Street 2:
Practice Address - City:WITTMANN
Practice Address - State:AZ
Practice Address - Zip Code:85361-9433
Practice Address - Country:US
Practice Address - Phone:623-388-2321
Practice Address - Fax:623-388-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ684218Medicare PIN