Individual
LORI ANN ENEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 1727
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573801
—
AZ
01
—
8HM558
CMS
AZ
Enumeration date
07/10/2007
Last updated
08/26/2011
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