Healthcare Provider Details

I. General information

NPI: 1245966308
Provider Name (Legal Business Name): FELICIA D SOLIS-CUMMINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W CAMINO CASA VERDE STE 200
GREEN VALLEY AZ
85614-3599
US

IV. Provider business mailing address

18330 S KOLB RD
SAHUARITA AZ
85629-8939
US

V. Phone/Fax

Practice location:
  • Phone: 520-625-1760
  • Fax:
Mailing address:
  • Phone: 520-808-4362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06220974
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRNP278511
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: