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Pops Provisional Place LLC

Licensed Practical Nurse in Buckeye, AZ · enumerated 2017 · authorized official Marcia Crayton, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952820557

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Registry record

Entity type Organization (Type 2)
Legal business name Pops Provisional Place LLC
Practice address 29741 W Amelia Ave, Buckeye, AZ, 85396
Fax (623) 434-3882
Enumeration date Sep 14, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

164W00000X Licensed Practical Nurse Nursing Service Providers · License 044613 (AZ) Primary

Authorized official

Name Marcia Crayton
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Pops Provisional Place LLC located?
The practice location on file with NPPES is in Buckeye, AZ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.