Healthcare Provider Details

I. General information

NPI: 1700249349
Provider Name (Legal Business Name): VAUNAE NAVARETTE RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 03/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8626 E DUNBAR WAY
TUCSON AZ
85747-5604
US

IV. Provider business mailing address

8626 E DUNBAR WAY
TUCSON AZ
85747-5604
US

V. Phone/Fax

Practice location:
  • Phone: 520-235-0679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number011858
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: