Nevarez-Kells, Loretta Jo

Nevarez-Kells, Loretta Jo is an individual health care provider with primary practice located at 19646 N 27Th Ave Ste. # 403, Phoenix AZ 85027-4017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nevarez-Kells, Loretta Jo can be contacted via phone (623) 587-4868.

Contact Information

Primary practice address
19646 N 27Th Ave Ste. # 403 Phoenix AZ 85027-4017
Phone: (623) 587-4868
Fax: (623) 582-5300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN047854 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP6844 Arizona

Profile Details

NPI number 1689701682
LBN Legal business name Nevarez-Kells, Loretta Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Dec 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689701682 NPPES
Arizona MEDICAID 619728

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