Organization · Type 2 NPI

Old Pueblo Healthcare LLC

Nurse Practitioner · Tucson, AZ

NPI number 1306890793 Active

Practice location

5981 E Grant Rd, Suite 115
Tucson, AZ 85712

Fax (520) 298-8201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN069526 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1306890793

Old Pueblo Healthcare LLC's National Provider Identifier is 1306890793, issued on May 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tucson, AZ. The record was last updated on Jun 15, 2020.