Healthcare Provider Details

I. General information

NPI: 1609739168
Provider Name (Legal Business Name): STAT MOBILE IV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11056 W PANTHER PEAK DR
TUCSON AZ
85743-8672
US

IV. Provider business mailing address

11056 W PANTHER PEAK DR
TUCSON AZ
85743-8672
US

V. Phone/Fax

Practice location:
  • Phone: 520-306-9300
  • Fax:
Mailing address:
  • Phone: 520-306-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: CALAN MURPHY
Title or Position: CNO
Credential: RN
Phone: 520-306-9300