Provider Demographics
NPI:1801993373
Name:NEVLIS, FRANCES ELIZABETH (MED, LISAC)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:NEVLIS
Suffix:
Gender:F
Credentials:MED, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2573 S ARIZONA AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364
Mailing Address - Country:US
Mailing Address - Phone:928-376-0220
Mailing Address - Fax:928-376-0709
Practice Address - Street 1:2573 S ARIZONA AVE
Practice Address - Street 2:SUITE G
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364
Practice Address - Country:US
Practice Address - Phone:928-376-0220
Practice Address - Fax:928-376-0709
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-10295101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)