Individual
GIA CHRISTINE CACCAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
13995 W STATLER BLVD BLDG 1, SURPRISE, AZ 85374-5501
(623) 478-3300
Mailing address
15800 N LITCHFIELD RD, SURPRISE, AZ 85374-5514
(623) 478-3100
(623) 478-3300
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN197408
AZ
363LF0000X
Family Nurse Practitioner
Primary
309785
AZ
Other
Enumeration date
08/26/2021
Last updated
07/31/2025
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