MEDICARE: GENEVIEVE GOLDEN F.N.P.-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	363LF0000X	Family Nurse Practitioner	AP9989	AZ

General Provider Information

NPI Number	:	1750817813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE GOLDEN F.N.P.-C.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5023
Country	:	US
Telephone Number	:	520-694-7612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5023
Country	:	US
Telephone Number	:	520-626-4895
Fax Number	:

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	06/26/2018

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Directions to “ GENEVIEVE GOLDEN F.N.P.-C.” Practice Location

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