Healthcare Provider Details

I. General information

NPI: 1821064072
Provider Name (Legal Business Name): PATRICIA A NAWROCKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 W THUNDERBIRD BLVD
SUN CITY AZ
85351-3004
US

IV. Provider business mailing address

PO BOX 53568
PHOENIX AZ
85072-3568
US

V. Phone/Fax

Practice location:
  • Phone: 623-974-7000
  • Fax: 623-815-6664
Mailing address:
  • Phone: 623-544-5075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN039594
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: