SOUTHERN ARIZONA CENTER FOR PELVIC HEALTH NPI 1063962819

NPI Information

NPI: 1063962819
Provider Name: SOUTHERN ARIZONA CENTER FOR PELVIC HEALTH
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
1625 W INA RD
SUITE 117
TUCSON, AZ
ZIP 85704
Phone: (520) 237-2420
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SOUTHERN ARIZONA CENTER FOR PELVIC HEALTH is a women's health nurse practitioner in Tucson, AZ. SOUTHERN ARIZONA CENTER FOR PELVIC HEALTH NPI is 1063962819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1625 W INA RD
SUITE 117
TUCSON, AZ
ZIP 85704-900
Phone: (520) 237-2420
Fax: (520) 888-1453

The provider's authorized official is Patricia Jalomo .
The authorized official title is Whnp/owner and has the following contact phone number (520) 237-2420.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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	363LW0102X	Nurse Practitioner	Women's Health	AP7401	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	Other Provider Identifier Issuer
1	Z67511	MEDICARE PIN	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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