Individual
RON MATTHEW NEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1125 W CENTER ST, OREM, UT 84057-5207
(801) 903-5903
Mailing address
5344 S VERDE, MESA, AZ 85212-9116
(480) 273-2823
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP305669
AZ
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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