Individual
LAURA COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-0111
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-0111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP9828
AZ
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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