Individual
BETHZAIDA PEREZ-KYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E 5TH ST, DOUGLAS, AZ 85607-2859
(520) 364-7659
(520) 364-8541
Mailing address
3316 PEREGRINE DR, SIERRA VISTA, AZ 85650-6659
(520) 220-0747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5754
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP5754
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
09/27/2014
Last updated
09/15/2016
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