Individual
KATIE TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 2ND AVE, TUCSON, AZ 85705-8506
(520) 225-5017
Mailing address
400 N 2ND AVE, TUCSON, AZ 85705-8506
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN184346
AZ
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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