MEDICARE: KRISTEN FICHERA

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	163WE0003X	Emergency Registered Nurse	223860	AZ

General Provider Information

NPI Number	:	1669167730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN FICHERA

Provider Business Mailing Address
First Line	:	7267 S CAMINO DEL CORDERO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-0019
Country	:	US
Telephone Number	:	337-353-5919
Fax Number	:

Provider Business Practice Location Address
First Line	:	7267 S CAMINO DEL CORDERO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-0019
Country	:	US
Telephone Number	:	337-353-5919
Fax Number	:

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

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	04/05/2023

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Directions to “ KRISTEN FICHERA ” Practice Location

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