Individual
LIVIA MIGDALIA AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 826-2634
(602) 889-9404
Mailing address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 826-2634
(602) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
235065
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
235065
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008424
—
AZ
01
—
Z244754
MEDICARE
AZ
Enumeration date
02/15/2020
Last updated
11/01/2024
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