Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN114504 | AZ |
NPI | 1033184551 |
---|---|
Provider Name | Nancy Christy |
First Address | Tucson, AZ 85718-2128 |
Second Address | Dm Afb, AZ 85707-6097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2006 |
Last Update Date | 20/12/2011 |