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NPI Code Detail

MEDICARE: ANITA LYNNE REDFORD FNP

MEDICARE: ANITA LYNNE REDFORD FNP
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
1163WS0200XSchool Registered NurseRN115800AZ
2363LF0000XFamily Nurse Practitioner296343AZ

General Provider Information

NPI Number : 1659546711
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA LYNNE REDFORD FNP
Provider Business Mailing Address
First Line : 3785 W INA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2247
Country : US
Telephone Number : 520-744-1054
Fax Number :
Provider Business Practice Location Address
First Line : 3785 W INA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2247
Country : US
Telephone Number : 520-744-1054
Fax Number : 520-696-5067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2008
Last Update Date : 09/02/2023

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Directions to “ ANITA LYNNE REDFORD FNP” Practice Location

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