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NPI Code Detail

MEDICARE: STACIE HOMAN NP-C

MEDICARE: STACIE HOMAN NP-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
1363LF0000XFamily Nurse PractitionerTAP11346AZ
2363LF0000XFamily Nurse PractitionerAP11346AZ

General Provider Information

NPI Number : 1689167132
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE HOMAN NP-C
Provider Business Mailing Address
First Line : 2055 W HOSPITAL DR STE 255
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7857
Country : US
Telephone Number : 520-547-5725
Fax Number : 520-547-5735
Provider Business Practice Location Address
First Line : 2055 W HOSPITAL DR STE 255
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7857
Country : US
Telephone Number : 520-404-6833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2018
Last Update Date : 02/20/2024

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Directions to “ STACIE HOMAN NP-C” Practice Location

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