Individual provider · Type 1 NPI

Licel Tumpap, FNP-C

Family Nurse Practitioner · Mesa, AZ

NPI number 1104344969 Active

Practice location

612 W Baseline Rd
Mesa, AZ 85210-6041

Fax (480) 964-7802

Mailing address

2210 E La Costa Dr
Gilbert, AZ 85298-9738

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP10091 (AZ)
Family Nurse Practitioner Primary 363LF0000XAP10091 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1104344969

Licel Tumpap, FNP-C's National Provider Identifier is 1104344969, issued on Aug 31, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 20, 2017.