Healthcare Provider Details

I. General information

NPI: 1790922771
Provider Name (Legal Business Name): NANCY ROMMEL OGNP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 E GRANT RD
TUCSON AZ
85712-2211
US

IV. Provider business mailing address

5655 E GRANT RD
TUCSON AZ
85712-2211
US

V. Phone/Fax

Practice location:
  • Phone: 520-751-4585
  • Fax: 520-290-5955
Mailing address:
  • Phone: 520-751-4585
  • Fax: 520-290-5955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberRN062341
License Number StateAZ

VIII. Authorized Official

Name: NANCY L. ROMMEL
Title or Position: PRESIDENT
Credential: N.P.
Phone: 520-751-4585