MARY JO GAGAN ANP NPI 1831170364

NPI Information

NPI: 1831170364
Provider Name: MARY JO GAGAN, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1775 E SKYLINE DR
STE 101
TUCSON, AZ
ZIP 85718
Phone: (520) 615-6200
Get Directions

Mary Jo Gagan, ANP is an adult health nurse practitioner in Tucson, AZ. Mary Jo Gagan, ANP NPI is 1831170364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1775 E SKYLINE DR
STE 101
TUCSON, AZ
ZIP 85718-162
Phone: (520) 615-6200
Fax: (520) 615-6255

The enumeration date for this NPI number is 11/10/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN093619	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	918021	MEDICAID	ARIZONA
2	101494	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA
3	Q37104	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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