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NPI Code Detail

MEDICARE: ERICA IGLESIAS

MEDICARE:   ERICA  IGLESIAS
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
1163WP0808XPsychiatric/Mental Health Registered Nurse95023745CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95028292CA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner305168AZ

General Provider Information

NPI Number : 1639598113
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA IGLESIAS
Provider Business Mailing Address
First Line : 2195 E RIVER RD STE 105
Second Line :
City : TUCSON
State : AZ
Zip : 85718-6586
Country : US
Telephone Number : 510-524-6565
Fax Number : 520-495-3477
Provider Business Practice Location Address
First Line : 2195 E RIVER RD STE 105
Second Line :
City : TUCSON
State : AZ
Zip : 85718-6586
Country : US
Telephone Number : 520-524-6565
Fax Number : 520-495-3477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 07/21/2025

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Directions to “ ERICA IGLESIAS ” Practice Location

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