MEDICARE: MS. SYLVIA M SCHICK-YOUNG NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN087898	AZ

General Provider Information

NPI Number	:	1225083314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYLVIA M SCHICK-YOUNG NP

Provider Business Mailing Address
First Line	:	5055 E BROADWAY BLVD
Second Line	:	STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
City	:	TUCSON
State	:	AZ
Zip	:	85711-3640
Country	:	US
Telephone Number	:	520-327-0460
Fax Number	:	520-795-0225

Provider Business Practice Location Address
First Line	:	1200 N EL DORADO PL
Second Line	:	STE I-900 DR. LEFF
City	:	TUCSON
State	:	AZ
Zip	:	85715-4637
Country	:	US
Telephone Number	:	520-298-8525
Fax Number	:	520-298-8366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	03/01/2010

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