MEDICARE: AMY P TEES NP-C

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	RN-000099137	AZ
2	163WN0800X	Neuroscience Registered Nurse	RN000099137	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346229846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY P TEES NP-C

Provider Business Mailing Address
First Line	:	2450 E RIVER RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6522
Country	:	US
Telephone Number	:	520-795-7750
Fax Number	:	520-320-2155

Provider Business Practice Location Address
First Line	:	2450 E RIVER RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6522
Country	:	US
Telephone Number	:	520-795-7750
Fax Number	:	520-320-2155

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	04/14/2011

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Directions to “ AMY P TEES NP-C” Practice Location

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