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Individual

MRS. HELEN JANE LYALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
TUCSON MEDICAL CENTRE, 5301 E GRANT ROAD, TUCSON, AZ 85712
(520) 324-5695
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108148
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
257097
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
091115
AZ
Enumeration date
04/24/2019
Last updated
09/16/2021
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