MEDICARE: MS. PHYLLIS ELAINE CLICK FNP-C

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	363LF0000X	Family Nurse Practitioner	RN053082	AZ
2	208100000X	Physical Medicine & Rehabilitation Physician	RN053082	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477554202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PHYLLIS ELAINE CLICK FNP-C

Provider Business Mailing Address
First Line	:	7850 N SILVERBELL RD STE 114
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-8270
Country	:	US
Telephone Number	:	520-349-7275
Fax Number	:

Provider Business Practice Location Address
First Line	:	9962 N SOLSTICE AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-0097
Country	:	US
Telephone Number	:	520-349-7275
Fax Number	:

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	06/10/2025

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