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NPI Code Detail

MEDICARE: MRS. ANDREA ROTH CRAIG DNP, FNP-BC

MEDICARE: MRS. ANDREA ROTH CRAIG DNP, FNP-BC
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
1163W00000XRegistered NurseRN203861AZ
2363LF0000XFamily Nurse Practitioner335472AZ

General Provider Information

NPI Number : 1306565262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA ROTH CRAIG DNP, FNP-BC
Provider Business Mailing Address
First Line : 4801 E BROADWAY BLVD STE 251
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2700
Country : US
Telephone Number : 520-327-0460
Fax Number :
Provider Business Practice Location Address
First Line : 5555 E 5TH ST STE 101
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2415
Country : US
Telephone Number : 520-886-4181
Fax Number : 520-721-7536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2022
Last Update Date : 06/24/2026

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Directions to “ MRS. ANDREA ROTH CRAIG DNP, FNP-BC” Practice Location

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