Individual provider · Type 1 NPI

Tina Fawcett, AGACNP

Nurse Practitioner · Flagstaff, AZ

NPI number 1326422700 Active

Practice location

1360 N Rim Dr
Flagstaff, AZ 86001-3111

Fax (928) 774-0372

Other practice locations

  • 5620 W Thunderbird Rd Ste B3, Glendale, AZ 85306-4638 · (602) 206-6262

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X354619-4405 (UT)
Nurse Practitioner Primary 363L00000XAP8563 (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…

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About NPI 1326422700

Tina Fawcett, AGACNP's National Provider Identifier is 1326422700, issued on Jul 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Apr 19, 2026.