Berry, Elvia Angelica

Berry, Elvia Angelica is an individual health care provider with primary practice located at 6818 W Thunderbird Rd , Peoria AZ 85381-5025. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Berry, Elvia Angelica can be contacted via phone (623) 566-3550.

Contact Information

Primary practice address
6818 W Thunderbird Rd Peoria AZ 85381-5025
Phone: (623) 566-3550
Fax: (623) 566-3573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN098573 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP3187 Arizona

Profile Details

NPI number 1114165073
LBN Legal business name Berry, Elvia Angelica
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2009
Last updated Nov 22nd, 2016 - about 8 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 1114165073 NPPES
Arizona MEDICAID 409313

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