Provider Demographics
NPI:1619132479
Name:ORAVA, GINNI MARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:GINNI
Middle Name:MARIE
Last Name:ORAVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:7030 S STAR DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4126
Mailing Address - Country:US
Mailing Address - Phone:602-705-3067
Mailing Address - Fax:480-420-3805
Practice Address - Street 1:1530 E WILLIAMS FIELD RD STE 201
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1825
Practice Address - Country:US
Practice Address - Phone:480-300-6849
Practice Address - Fax:480-420-3805
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP2185363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine