Individual
DR. EDWARD ANTHONY ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
96 N LOBB AVE, SUPERIOR, AZ 85173-2513
(602) 999-9739
Mailing address
96 N LOBB AVE, SUPERIOR, AZ 85173-2513
(602) 999-9739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95032355
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
303766
AZ
Other
Enumeration date
08/21/2020
Last updated
06/19/2024
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