Drevitson, Kathleen A
Drevitson, Kathleen A is an sole proprietor health care provider with primary practice located at 1850 N Central Ave Suite 1600, Phoenix AZ 85004-4527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Drevitson, Kathleen A can be contacted via phone (602) 744-4760.Contact Information
Primary practice address
1850 N Central Ave Suite 1600
Phoenix AZ 85004-4527
Phone: (602) 744-4760
Fax: (602) 744-4799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | RN016586 | Arizona |
Profile Details
| NPI number | 1710952510 |
|---|---|
| LBN Legal business name | Drevitson, Kathleen A |
| Credentials | Certified Registered Nurse, First Assistant (CRNFA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 10th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710952510 | NPPES |
| Arizona | MEDICAID | 188161 | |
| Arizona | Other | AZ0162510 |
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