Provider Demographics
NPI:1174349237
Name:ZULUETA JOVA, YAMILKA
Entity type:Individual
Prefix:
First Name:YAMILKA
Middle Name:
Last Name:ZULUETA JOVA
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 1:3723 N ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-3503
Mailing Address - Country:US
Mailing Address - Phone:786-879-2679
Mailing Address - Fax:
Practice Address - Street 1:3723 N ASPEN DR
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-3503
Practice Address - Country:US
Practice Address - Phone:786-879-2679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF08240760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily