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Individual

MS. MARY TAPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP/CNM

Contact information

Practice address
3132 STIX RD, LAKESIDE, AZ 85929-6917
(505) 870-7879
Mailing address
3132 STIX RD, LAKESIDE, AZ 85929-6917
(505) 870-7879

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN155657
AZ
363LF0000X
Family Nurse Practitioner
RN155657
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN155657
CA
367A00000X
Advanced Practice Midwife
RN155657
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295993376
AZ
05
1629236716
AZ
05
1780614008
AZ
05
1871523191
AZ
05
697360
AZ
Enumeration date
03/16/2007
Last updated
03/01/2017
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