Individual
JESUS RYAN ARVIZO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
239 N LITCHFIELD RD, GOODYEAR, AZ 85338-1249
(480) 549-8865
(520) 391-2936
Mailing address
12317 W LARKSPUR RD, EL MIRAGE, AZ 85335-5286
(623) 296-6682
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
241088
AZ
363L00000X
Nurse Practitioner
241088
AZ
363LF0000X
Family Nurse Practitioner
Primary
241088
AZ
363LG0600X
Gerontology Nurse Practitioner
241088
AZ
Other
Enumeration date
11/23/2022
Last updated
12/30/2024
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