MEDICARE: BRITTANY JOAN KASPRZYK PA-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	363A00000X	Physician Assistant		AZ
2	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1568980548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY JOAN KASPRZYK PA-C

Provider Business Mailing Address
First Line	:	3110 N SWAN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1227
Country	:	US
Telephone Number	:	520-780-8413
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N WILMOT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-4498
Country	:	US
Telephone Number	:	520-780-8413
Fax Number	:

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

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	03/23/2026

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