Ms Maridol Macias Bercilla, LVN - Licensed Vocational Nurse in Prescott Valley, AZ

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Ms Maridol Macias Bercilla, LVN is a Licensed Vocational Nurse based in Prescott Valley, Arizona. Ms Maridol Macias Bercilla is licensed to practice in California (license number 273763) and her current practice location is 6101 N Tower Ln Apt A, Prescott Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at (909) 856-7717.

NPI number for Ms Maridol Macias Bercilla is 1629789581 and her current mailing address is 6101 N Tower Ln Apt A, Prescott Valley, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629789581.

Contact Information

Ms Maridol Macias Bercilla, LVN
6101 N Tower Ln Apt A,
Prescott Valley, AZ 86314-3198
(909) 856-7717
Not Available

Map and Direction




Provider's Profile

Full NameMs Maridol Macias Bercilla
GenderFemale
SpecialityLicensed Vocational Nurse
Location6101 N Tower Ln Apt A, Prescott Valley, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629789581
  • Provider Enumeration Date: 12/12/2022
  • Last Update Date: 12/12/2022

Medical Identifiers

Medical identifiers for Ms Maridol Macias Bercilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629789581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 273763 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Maridol Macias Bercilla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Maridol Macias Bercilla, LVN
6101 N Tower Ln Apt A,
Prescott Valley, AZ 86314-3198

Ph: (909) 856-7717		Ms Maridol Macias Bercilla, LVN
6101 N Tower Ln Apt A,
Prescott Valley, AZ 86314-3198

Ph: (909) 856-7717

Reviews and Comments


Licensed Vocational Nurse Nurses in Prescott Valley, AZ


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