MEDICARE: MRS. GINNI MARIE ORAVA N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP2185	AZ
2	207Q00000X	Family Medicine Physician	AP2185	AZ

General Provider Information

NPI Number	:	1619132479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GINNI MARIE ORAVA N.P.

Provider Business Mailing Address
First Line	:	7030 S STAR DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-4126
Country	:	US
Telephone Number	:	602-705-3067
Fax Number	:	480-420-3805

Provider Business Practice Location Address
First Line	:	1530 E WILLIAMS FIELD RD STE 201
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-1825
Country	:	US
Telephone Number	:	480-300-6849
Fax Number	:	480-420-3805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	09/30/2023

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