# PATRIOT INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093263188
- **Authorized official:** HELENE P HENAGER N.P. (OWNER)
- **Authorized official phone:** (520) 398-7079

## Contact information

- **Practice address:** 9356 E RITA RD, STE 140, TUCSON, AZ 85747-6315
- **Practice address phone:** (520) 398-7079
- **Practice address fax:** (520) 207-4317
- **Mailing address:** 9356 E RITA RD, STE 140, TUCSON, AZ 85747-6315
- **Mailing address phone:** (520) 398-7079
- **Mailing address fax:** (520) 207-4317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2016
- **Last updated:** 05/03/2017