Healthcare Provider Details

I. General information

NPI: 1649214032
Provider Name (Legal Business Name): MARGARET CONSTANCE ERHART NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SOUTHERN ARIZONA VETERANS AFFAIRS HEALTH CARE SYST 3601 SOUTH 6TH AVENUE DEPARTMENT 2112
TUCSON AZ
85723
US

IV. Provider business mailing address

SOUTHERN ARIZONA VETERANS AFFAIRS HEALTH CARE SYST 3601 SOUTH 6TH AVENUE DEPARTMENT 2112
TUCSON AZ
85723-0001
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-1450
  • Fax: 520-629-4603
Mailing address:
  • Phone: 520-792-1450
  • Fax: 520-629-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP1892
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberNP 1892, RN 126306
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: