Provider Demographics
NPI:1831378660
Name:NEVELS, NADIA VERNICE
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:VERNICE
Last Name:NEVELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 S AVE A
Mailing Address - Street 2:# 31
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-3768
Mailing Address - Country:US
Mailing Address - Phone:928-782-6088
Mailing Address - Fax:
Practice Address - Street 1:833 S AVE A
Practice Address - Street 2:# 31
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-3768
Practice Address - Country:US
Practice Address - Phone:928-782-6088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ471609385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child