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NPI Code Detail

MEDICARE: CECILIA ANN CALDERON NP-C

MEDICARE: CECILIA ANN CALDERON NP-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
1363LF0000XFamily Nurse PractitionerAP533AZ

General Provider Information

NPI Number : 1912325572
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA ANN CALDERON NP-C
Provider Business Mailing Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number : 520-240-3689
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number : 520-240-3689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 03/04/2025

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