Healthcare Provider Details

I. General information

NPI: 1043034531
Provider Name (Legal Business Name): SUSAN ALLISON SPRINGER-LITTLE MSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10950 N STALLARD PL STE 102
TUCSON AZ
85737-9527
US

IV. Provider business mailing address

4210 E PINAL ST
TUCSON AZ
85739-9635
US

V. Phone/Fax

Practice location:
  • Phone: 520-535-2432
  • Fax:
Mailing address:
  • Phone: 740-848-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number266212
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: