Pelayo-Katsanis, Luz Olga

Pelayo-Katsanis, Luz Olga is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pelayo-Katsanis, Luz Olga can be contacted via phone (520) 694-7433.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-0001
Phone: (520) 694-7433
Fax: (520) 694-6688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3093 Arizona

Profile Details

NPI number 1306094008
LBN Legal business name Pelayo-Katsanis, Luz Olga
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Jan 16th, 2013 - about 13 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 1306094008 NPPES
Arizona MEDICAID 373254

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