Healthcare Provider Details

I. General information

NPI: 1407670490
Provider Name (Legal Business Name): KARLA CUEVAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 N HARRISON RD
TUCSON AZ
85748-3260
US

IV. Provider business mailing address

5525 S THOMAS PARK TRL
TUCSON AZ
85747-0047
US

V. Phone/Fax

Practice location:
  • Phone: 520-324-4403
  • Fax:
Mailing address:
  • Phone: 520-272-9730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number313154
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: