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Abundant Health Family Practice

Nurse Practitioner, Family in Tucson, AZ. Organization (NPI-2).

NPI number1568697282
StatusActive
Last updated in NPPESAug 23, 2013

Details

NPI
1568697282
Entity type
Organization (NPI-2)
Legal business name
Abundant Health Family Practice
Organization subpart
No
Enumeration date
May 26, 2009
Last updated
Aug 23, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

2055 W Hospital Dr
Suite 295
Tucson, AZ 85704-7892

Phone 520-326-1457 · Fax 520-326-1464

Mailing address

2055 W Hospital Dr
Suite 295
Tucson, AZ 85704-7892

Phone 520-326-1457 · Fax 520-326-1464

Authorized official

Rachel E Gordon
Co Owner
5203261457

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