Gura, Tavia

Gura, Tavia is an individual health care provider with primary practice located at Hwy 163 Building Ka 2010 Kayenta Health Center, Kayenta AZ 86033-0368. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gura, Tavia can be contacted via phone (928) 697-4100.

Contact Information

Primary practice address
Hwy 163 Building Ka 2010 Kayenta Health Center Kayenta AZ 86033-0368
Fax: (928) 697-4029
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN153899 Arizona
Nursing Service Providers / Emergency 163WE0003X RN153899 Arizona

Profile Details

NPI number 1497153670
LBN Legal business name Gura, Tavia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2014
Last updated Dec 19th, 2014 - 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 1497153670 NPPES
Arizona MEDICAID 060012

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