Cushing Street Family Practice PC

NPI #1851782882 in Tucson, Arizona

Provider Information

NPI Number: 1851782882
Entity Type: Organization
Organization Name: Cushing Street Family Practice PC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 12, 2015
Last Updated: Feb 12, 2015

Practice Location

Address: 58 W CUSHING ST
City: Tucson
State: Arizona
ZIP Code: 85701-2218
Phone: (602) 549-3609

Authorized Official

Name: KELLIE MAXWELL
Title: OFFICE MANAGER
Phone: (602) 549-3609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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