Small Valley Healthcare Partners | |
1 S Church Ave Ste 1200 Tucson AZ 85701-1601 | |
(520) 878-8233 | |
Not Available |
Full Name | Small Valley Healthcare Partners |
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Speciality | Nurse Practitioner |
Location | 1 S Church Ave Ste 1200, Tucson, Arizona |
Authorized Official Name and Position | Juvel-lou Velasco (NP) |
Authorized Official Contact | 5208788233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Small Valley Healthcare Partners 1 S Church Ave Ste 1200 Tucson AZ 85701-1601 Ph: (520) 878-8233 | Small Valley Healthcare Partners 1 S Church Ave Ste 1200 Tucson AZ 85701-1601 Ph: (520) 878-8233 |
NPI Number | 1780447581 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 5991238016 |
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Medicare Enrollment ID | O20241029000885 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780447581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Juvel-lou P Velasco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972086528 PECOS PAC ID: 7810231909 Enrollment ID: I20200709001796 |
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