Individual
MARICELA SEVILLA OLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
151 S OAK AVE STE 2, SAN LUIS, AZ 85336-0756
(928) 662-0414
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261918
AZ
Other
Enumeration date
08/06/2021
Last updated
08/13/2024
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