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Ivan Horacio Vega, FNP-BC
Emergency Registered Nurse in San Luis, Arizona
NPI 1720742729

Ivan Horacio Vega is a Emergency Registered Nurse based in Somerton, AZ and is specialized in Emergency. Ivan Horacio Vega practices in San Luis, AZ and has the professional credentials of FNP-BC. The NPI Number for Ivan Horacio Vega is 1720742729 and holds a License No. 268101 (Arizona).

The current practice location address for Ivan Horacio Vega is 151 S Oak Ave Ste 7, San Luis, AZ and can be reached out via phone at 928-366-5166 and via fax at 928-366-5165.

Location: 151 S Oak Ave Ste 7, San Luis, AZ, 85350-0617
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Provider Profile Details
NPI Number
1720742729
Provider Name
Ivan Horacio Vega
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
151 S Oak Ave Ste 7, San Luis, AZ, 85350-0617
Phone Number
928-366-5166
Fax Number
928-366-5165
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105456 05 AZ
institution
Provider Business Practice Location Address Details
Address
151 S Oak Ave Ste 7
City
State
Zip
85336-0756
Phone Number
928-366-5166
Fax Number
928-366-5165
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Provider Business Mailing Address Details
Address
151 S Oak Ave Ste 7
City
State
Zip
85336-0756
Phone Number
928-366-5166
Fax Number
928-366-5165
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
RN185788 (Arizona)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
268101 (Arizona)
Definition
Definition to come...
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