MEDICARE: HOLLAND R ARCHAMBAULT FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	318582	AZ

General Provider Information

NPI Number	:	1235826371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLAND R ARCHAMBAULT FNP

Provider Business Mailing Address
First Line	:	1505 N SWAN RD STE 121
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4044
Country	:	US
Telephone Number	:	520-795-3090
Fax Number	:	520-795-3537

Provider Business Practice Location Address
First Line	:	1505 N SWAN RD STE 121
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4044
Country	:	US
Telephone Number	:	520-795-3090
Fax Number	:	520-795-3537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	12/31/2025

Similar Medicare Providers

1548243132 — ALISON HILARIE ERWAY-BREWER CRNA
Practice Location Address:

1505 N SWAN RD STE 121
TUCSON, AZ
85712-4044

Practice Phone: 520-795-3090
Practice Fax:

1497729248 — DR. FADI DEEB MD
Practice Location Address:

1505 N SWAN RD # 121
TUCSON, AZ
85712-4044

Practice Phone: 520-795-3090
Practice Fax: 520-795-3537

1437218633 — CYNTHIA ANNE BARNICLE CRNA
Practice Location Address:

1505 N SWAN RD STE 121
TUCSON, AZ
85712-4044

Practice Phone: 520-795-3090
Practice Fax:

1093918302 — BASSEL KISSO MD
Practice Location Address:

1505 N SWAN RD STE 121
TUCSON, AZ
85712-4044

Practice Phone: 520-795-3090
Practice Fax: 520-795-3537

1619368891 — SWAN GASTROENTEROLOGY, P.C.
Practice Location Address:

1505 N SWAN RD , 121
TUCSON, AZ
85712-4044

Practice Phone: 520-795-3090
Practice Fax: 520-795-3586

1376998666 — SWAN SURGERY CENTER, LLC
Practice Location Address:

1505 N SWAN RD # 101
TUCSON, AZ
85712-4044

Practice Phone: 520-795-3090
Practice Fax:

Directions to “ HOLLAND R ARCHAMBAULT FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.