Healthcare Provider Details

I. General information

NPI: 1447648647
Provider Name (Legal Business Name): ADRIANA BARCELO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2014
Last Update Date: 09/13/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 N WYATT DR STE 100
TUCSON AZ
85712-6119
US

IV. Provider business mailing address

PO BOX 31235
TUCSON AZ
85751-1235
US

V. Phone/Fax

Practice location:
  • Phone: 520-324-8621
  • Fax: 520-324-3935
Mailing address:
  • Phone: 520-586-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTAP7528
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: