MEDICARE: MS. MARY LOU FRAGOMENI-NUTTALL CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SLP0579	AZ

General Provider Information

NPI Number	:	1902012651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY LOU FRAGOMENI-NUTTALL CCC-SLP

Provider Business Mailing Address
First Line	:	5345 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1312
Country	:	US
Telephone Number	:	520-270-0830
Fax Number	:	520-324-1610

Provider Business Practice Location Address
First Line	:	5345 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1312
Country	:	US
Telephone Number	:	520-270-0830
Fax Number	:	520-324-1610

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1154841328 — KELI MARIE PERINO RDN
Practice Location Address:

5353 E FORT LOWELL RD
TUCSON, AZ
85712-1312

Practice Phone: 520-490-8452
Practice Fax:

1144454620 — KEITH REGAN D.C.
Practice Location Address:

7210 N CASABLANCA DR
TUCSON, AZ
85704-1312

Practice Phone: 520-544-2992
Practice Fax:

1083147011 — JANAE ELISE MAHER M.D.
Practice Location Address:

8895 E GOLF LINKS RD
TUCSON, AZ
85730-1312

Practice Phone: 202-936-6865
Practice Fax:

1982234068 — JEFFREY SCOTT DIXON
Practice Location Address:

3071 N SWAN RD
TUCSON, AZ
85712-1259

Practice Phone: 520-820-6395
Practice Fax:

1689523219 — AMIGOS ORTHOTICS & PROSTHETICS INC.
Practice Location Address:

5655 E GRANT RD
TUCSON, AZ
85712-2211

Practice Phone: 877-314-1086
Practice Fax: 866-592-3002

1760467575 — HOSPICE FAMILY CARE, INC.
Practice Location Address:

3112 N SWAN RD
TUCSON, AZ
85712-1227

Practice Phone: 520-790-9299
Practice Fax: 520-790-9279

Directions to “ MS. MARY LOU FRAGOMENI-NUTTALL CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.