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NPI Code Detail

MEDICARE: MS. CYNTHIA WARE CARLSON FNP-C

MEDICARE:  MS. CYNTHIA WARE CARLSON  FNP-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
1363LF0000XFamily Nurse PractitionerAP5181AZ

General Provider Information

NPI Number : 1548697469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA WARE CARLSON FNP-C
Provider Business Mailing Address
First Line : 2120 W INA RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85741-5501
Country : US
Telephone Number : 520-395-0471
Fax Number : 520-989-0573
Provider Business Practice Location Address
First Line : 2120 W INA RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85741-5501
Country : US
Telephone Number : 520-395-0471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2013
Last Update Date : 06/18/2020

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Directions to “ MS. CYNTHIA WARE CARLSON FNP-C” Practice Location

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