Individual
MS. LORETTA JO NEVAREZ-KELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
19646 N 27TH AVE, STE. # 403, PHOENIX, AZ 85027-4017
(623) 587-4868
(623) 582-5300
Mailing address
1760 E RIVER RD, SUITE # 350, TUCSON, AZ 85718-5877
(520) 519-7775
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP6844
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN047854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619728
—
AZ
Enumeration date
02/27/2007
Last updated
12/28/2016
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