Healthcare Provider Details

I. General information

NPI: 1710167325
Provider Name (Legal Business Name): PATRICIA L ATHERTON ARNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 04/28/2020
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 N CRAYCROFT RD
TUCSON AZ
85712-2243
US

IV. Provider business mailing address

2695 N CRAYCROFT RD
TUCSON AZ
85712-2243
US

V. Phone/Fax

Practice location:
  • Phone: 520-322-2888
  • Fax:
Mailing address:
  • Phone: 505-265-5976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number224393
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number224393
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: