Organization · NPI-2

A New Creation Womens Clinic PC

Family Medicine · Tucson, AZ

NPI number1164425450
StatusActive
Last updated in NPPESNov 14, 2012

Details

NPI
1164425450
Entity type
Organization (NPI-2)
Legal business name
A New Creation Womens Clinic PC
Organization subpart
No
Enumeration date
May 31, 2005
Last updated
Nov 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine3090AZYes
363LW0102X Nurse Practitioner, Women's Health86AZ
363LX0001X Nurse Practitioner, Obstetrics & Gynecology86AZ

Practice location

3055 W Ina Rd
Bldg 12, Suite 195
Tucson, AZ 85741-2107

Phone 520-293-1117 · Fax 520-293-7701

Mailing address

3055 W Ina Rd
Bldg 12, Suite 195
Tucson, AZ 85741-2107

Phone 520-293-1117 · Fax 520-293-7701

Authorized official

Mary-Louise Mulcahy
Administrator
4803573904

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