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NPI Code Detail

MEDICARE: ANN ROSE DICHOV R.N.

MEDICARE:   ANN ROSE DICHOV  R.N.
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
1163W00000XRegistered NurseRN147803AZ
2163W00000XRegistered Nurse390685CA

General Provider Information

NPI Number : 1891230413
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN ROSE DICHOV R.N.
Provider Business Mailing Address
First Line : 2954 N CAMPBELL AVE
Second Line : #371
City : TUCSON
State : AZ
Zip : 85719-2813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3427 N FORGEUS AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1109
Country : US
Telephone Number : 520-745-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2017
Last Update Date : 01/05/2017

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Directions to “ ANN ROSE DICHOV R.N.” Practice Location

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