PERLA EDUWIGES PUEBLA
Nurse Practitioner (Family)

Address: 1838 E Yale St, Phoenix, AZ 85006-1452

PERLA EDUWIGES PUEBLA (NPI# 1518556042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518556042
Entity Type Individual
Full Name PERLA EDUWIGES PUEBLA
Gender Female
Credential NP
Practice Address 1838 E Yale St
Phoenix
AZ 85006-1452
Practice Telephone 6024712188
Mailing Address 1838 E Yale St
Phoenix
AZ 85006-1452
Certification Date 2021-01-11
Enumeration Date 2021-01-11
Last Update Date 2021-01-11
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
251381 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1838 E YALE ST
City PHOENIX
State AZ
Zip Code 85006-1452

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1770089062 Kayla Marie Galetta Registered Nurse · Pediatrics 735 E. Fillmore St, Asu Preparatory Acadamy Pheonix, Phoenix, AZ 85006 2018-04-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598357147 Jalisa Zinn 515 W Buckeye Rd Ste 304, Phoenix, AZ 85003-2693 2021-02-05
1497343305 Josie Pirie 2739 W Bluefield Ave, Phoenix, AZ 85053-1142 2021-01-06
1770170417 Coletech LLC 328 W Kenton Ln., Phoenix, AZ 85023 2020-12-29
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1780288373 Andrea Marie Sanchez 4220 W Yucca St, Phoenix, AZ 85029-3849 2020-11-24
1164025920 Jamie Lynn Mainville 11113 W Turney Ave, Phoenix, AZ 85037-5319 2020-11-16
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1407456783 Brenna Michelle Clements 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
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Competitor

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City PHOENIX
Zip Code 85006

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.