MEDICARE: VITO TONAZZI 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
1	251S00000X	Community/Behavioral Health Agency		AZ
2	363L00000X	Nurse Practitioner	282261	AZ

General Provider Information

NPI Number	:	1780300574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VITO TONAZZI FNP

Provider Business Mailing Address
First Line	:	3650 W UNION HILLS DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-2404
Country	:	US
Telephone Number	:	623-451-5698
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 W UNION HILLS DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-2404
Country	:	US
Telephone Number	:	623-451-5698
Fax Number	:

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	05/01/2026

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