Individual
NANCY JOYCE PETTIBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
1200 N EL DORADO PL, BLD E SUITE 520, TUCSON, AZ 85715-4637
(520) 209-2500
(520) 545-7250
Mailing address
9040 E BEAR CREEK DR, TUCSON, AZ 85749-9642
(253) 720-3117
(520) 545-7250
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN180728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639292311
NPI
—
Enumeration date
04/09/2007
Last updated
06/30/2015
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