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NPI 1659839918

NPI 1659839918 : TANYA CROWELL FNP-C : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1659839918
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    Entity Type          |    Individual 
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    Provider Name        |    TANYA CROWELL FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/06/2019
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    7090 N ORACLE RD STE 148 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85704-4344
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    Country              |    US
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    Telephone            |    480-677-8282
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    Fax                  |    844-470-2777
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Provider Business Mailing Address
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    Address Line         |    261 N ROOSEVELT AVE 
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    City                 |    CHANDLER
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    State                |    AZ
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    Zip                  |    85226-2617
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    Country              |    US
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    Telephone            |    480-677-8282
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    Fax                  |    844-470-2777
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    314737
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    25531
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    License Number State |    TN
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