Flores, Larissa

Flores, Larissa is an sole proprietor health care provider with primary practice located at 10815 W Mcdowell Rd Ste 305 , Avondale AZ 85392-5016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Flores, Larissa can be contacted via phone (623) 936-3312.

Contact Information

Primary practice address
10815 W Mcdowell Rd Ste 305 Avondale AZ 85392-5016
Phone: (623) 936-3312
Fax: (623) 936-4248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X AP9917 Arizona

Profile Details

NPI number 1053844811
LBN Legal business name Flores, Larissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2017
Last updated Jun 28th, 2019 - about 5 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 1053844811 NPPES
Arizona Other Z201263 MEDICARE
Arizona MEDICAID 257668 MEDICARE

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