Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP3143 | AZ |
NPI | 1003071325 |
---|---|
Provider Name | Patricia Hiebert |
First Address | Tucson, AZ 85741-3080 |
Second Address | Tucson, AZ 85741-3080 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 04/11/2020 |