Healthcare Provider Details

I. General information

NPI: 1770904922
Provider Name (Legal Business Name): NICHOLE EVE KUHNS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2013
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 E INA RD
TUCSON AZ
85718-1526
US

IV. Provider business mailing address

3900 E INA RD
TUCSON AZ
85718-1526
US

V. Phone/Fax

Practice location:
  • Phone: 520-730-5799
  • Fax:
Mailing address:
  • Phone: 520-730-5799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3598
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: