Individual
TAWNIE C CARACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
1437 W. AUTO DRIVE, TEMPE, AZ 85284
(023) 622-9836
(855) 889-8024
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041383554
IL
363L00000X
Nurse Practitioner
209.018703
IL
363L00000X
Nurse Practitioner
Primary
227917
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566542
—
AZ
Enumeration date
12/30/2018
Last updated
12/31/2019
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