MRS. MARY LYNN TIESZEN F.N.P. NPI 1568650190

NPI Information

NPI: 1568650190
Provider Name: MRS. MARY LYNN TIESZEN, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
13555 W MCDOWELL RD
STE. 209
GOODYEAR, AZ
ZIP 85395
Phone: (623) 512-4310
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MRS. Mary Lynn Tieszen, F.N.P. is a family nurse practitioner in Goodyear, AZ. MRS. Mary Lynn Tieszen, F.N.P. NPI is 1568650190. 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:

13555 W MCDOWELL RD
STE. 209
GOODYEAR, AZ
ZIP 85395-624
Phone: (623) 512-4310
Fax: (623) 512-4311

The enumeration date for this NPI number is 10/9/2007 and was last updated on 4/21/2015.

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	363LF0000X	Nurse Practitioner	Family	RN104549	ARIZONA	Yes

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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