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NPI Code Detail

MEDICARE: PATRICIA L ATHERTON ARNP, CNS

MEDICARE: PATRICIA L ATHERTON ARNP, CNS
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist224393AZ
2363LA2200XAdult Health Nurse Practitioner224393AZ

General Provider Information

NPI Number : 1710167325
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA L ATHERTON ARNP, CNS
Provider Business Mailing Address
First Line : 2695 N CRAYCROFT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2243
Country : US
Telephone Number : 505-265-5976
Fax Number :
Provider Business Practice Location Address
First Line : 2695 N CRAYCROFT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2243
Country : US
Telephone Number : 520-322-2888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2007
Last Update Date : 04/28/2020

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