MEDICARE: TUSD

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	163W00000X	Registered Nurse	RN082632	AZ

General Provider Information

NPI Number	:	1487903803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUSD

Provider Business Mailing Address
First Line	:	2120 N BEVERLY AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2128
Country	:	US
Telephone Number	:	520-232-7934
Fax Number	:	520-232-7901

Provider Business Practice Location Address
First Line	:	2120 N BEVERLY AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2128
Country	:	US
Telephone Number	:	520-232-7934
Fax Number	:	520-232-7901

Authorized Official
Title or Position	:	SCHOOL NURSE
Name	:	MS. YUMI NISHIHO
Credential	:	RN
Telephone Number	:	520-232-7934

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	08/30/2012

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Directions to “TUSD ” Practice Location

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