Provider Demographics
NPI:1164248936
Name:TALBERT, KISCHEA E (RN)
Entity type:Individual
Prefix:
First Name:KISCHEA
Middle Name:E
Last Name:TALBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KISCHEA
Other - Middle Name:E
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8820 W BELL RD APT 261
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-4705
Mailing Address - Country:US
Mailing Address - Phone:505-615-4490
Mailing Address - Fax:
Practice Address - Street 1:6601 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-5700
Practice Address - Country:US
Practice Address - Phone:602-243-7277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ286913163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse