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Individual

TRACEY LYNN TINNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MSN,FNP-BC

Contact information

Practice address
688 W 4TH ST, BENSON, AZ 85602-6314
(520) 720-6551
(520) 720-6552
Mailing address
450 S OCOTILLO AVE, BENSON, AZ 85602-6490
(520) 586-2261
(520) 586-7283

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
263513
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
263513
AZ

Other

Enumeration date
10/01/2021
Last updated
10/12/2023
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