Individual
ELVIA ANGELICA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
6818 W THUNDERBIRD RD, PEORIA, AZ 85381-5025
(623) 566-3550
(623) 566-3573
Mailing address
2445 W SILVER SAGE LN, PHOENIX, AZ 85085-5740
(623) 977-9657
(623) 583-7432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN098573
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3187
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409313
—
AZ
Enumeration date
01/30/2009
Last updated
11/22/2016
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