| East Valley Serenity Health, Llc | |
|
4001 E Baseline Rd Ste 104 Gilbert AZ 85234-2736 | |
| (480) 770-4540 | |
| Not Available |
| Full Name | East Valley Serenity Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 4001 E Baseline Rd Ste 104, Gilbert, Arizona |
| Authorized Official Name and Position | Ginni Orava (OWNER) |
| Authorized Official Contact | 4807704540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Serenity Health, Llc 7030 S Star Dr Gilbert AZ 85298-4126 Ph: (480) 770-4540 | East Valley Serenity Health, Llc 4001 E Baseline Rd Ste 104 Gilbert AZ 85234-2736 Ph: (480) 770-4540 |
| NPI Number | 1013475854 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/11/2020 |
| Medicare PECOS PAC ID | 4981945987 |
|---|---|
| Medicare Enrollment ID | O20190329002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013475854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ginni M Orava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619132479 PECOS PAC ID: 8022185255 Enrollment ID: I20080930000260 |
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