Provider Demographics
NPI:1063044436
Name:MACHADO, GENEVIEVE NOVOA (DNP)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:NOVOA
Last Name:MACHADO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:DAWNELLE
Other - Last Name:GIVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 S AVENUE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7170
Mailing Address - Country:US
Mailing Address - Phone:928-344-2000
Mailing Address - Fax:
Practice Address - Street 1:2451 S AVENUE A STE A104
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7189
Practice Address - Country:US
Practice Address - Phone:928-336-2164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN147375163W00000X
AZ239563363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse