Individual
EUSTACIA ALANA JORVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1760 E FLORENCE BLVD STE 140, CASA GRANDE, AZ 85122-4765
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE # 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN181767
AZ
363LF0000X
Family Nurse Practitioner
Primary
230501
AZ
Other
Enumeration date
06/20/2019
Last updated
01/20/2020
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