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NPI Code Detail

MEDICARE: MS. AMY LOUISE GINN NP

MEDICARE: MS. AMY LOUISE GINN NP
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
1363LA2200XAdult Health Nurse PractitionerRN043980AZ

General Provider Information

NPI Number : 1326174525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY LOUISE GINN NP
Provider Business Mailing Address
First Line : 7740N ORACLE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-6313
Country : US
Telephone Number : 520-544-9890
Fax Number : 520-544-9894
Provider Business Practice Location Address
First Line : 7740N ORACLE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-6313
Country : US
Telephone Number : 520-544-9890
Fax Number : 520-544-9894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2007
Last Update Date : 09/23/2015

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