Basic Information
| Provider Information | |||||||||
| NPI: | 1801839543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOVEY | ||||||||
| FirstName: | JEROME | ||||||||
| MiddleName: | NELSON | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 160 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852520160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4802728411 | ||||||||
| FaxNumber: | 4803611435 | ||||||||
| Practice Location | |||||||||
| Address1: | 15845 N 63RD PL | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852541968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4809801873 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2006 | ||||||||
| LastUpdateDate: | 08/16/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 082463 | AZ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.