Individual
LISA TUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 N ORACLE RD STE 100, TUCSON, AZ 85704-4447
(520) 324-4910
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP5380
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP5380
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072028
—
AZ
Enumeration date
03/29/2014
Last updated
09/27/2021
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