Individual
EKATERINA EREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 N 3RD ST STE 102, PHOENIX, AZ 85020-2455
(602) 369-2983
Mailing address
9225 N 3RD ST STE 102, PHOENIX, AZ 85020-2455
(602) 369-2983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
255593
AZ
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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