Healthcare Provider Details

I. General information

NPI: 1043547953
Provider Name (Legal Business Name): AIMEE SUSANNE BUCCI P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE S FRANKEN

II. Dates (important events)

Enumeration Date: 11/13/2009
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E THOMAS RD EAST BUILDING
PHOENIX AZ
85016-7710
US

IV. Provider business mailing address

3200 E CAMELBACK RD STE 250
PHOENIX AZ
85018-2327
US

V. Phone/Fax

Practice location:
  • Phone: 602-933-1784
  • Fax: 602-933-1785
Mailing address:
  • Phone: 602-933-1814
  • Fax: 602-933-1820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberAP3480
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberRN128885/AP3480
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP3480
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: