Healthcare Provider Details

I. General information

NPI: 1396534483
Provider Name (Legal Business Name): ELISA MILAGROS LOYA GIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 N SCOTTSDALE RD STE 206
SCOTTSDALE AZ
85254-5228
US

IV. Provider business mailing address

8207 W ADAM AVE
PEORIA AZ
85382-3481
US

V. Phone/Fax

Practice location:
  • Phone: 480-991-5058
  • Fax:
Mailing address:
  • Phone: 520-904-5841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number322195
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: