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Organization

DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC

Active
Other names
SAN XAVIER CLINIC PAAPNP
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KURT PRIESSMAN B.A., M.B.A., C.P.M. (ACCOUNTING AND BUDGET OFFICER)
(520) 295-2427
Entity
Organization

Contact information

Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
363LS0200X
School Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
364SC1501X
Community Health/Public Health Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437157302
FACILITY NPI #
AZ
05
147133-03
AZ
05
706921-01
AZ
01
AZ0209620
BC/BSAZ PROV NO
AZ
Enumeration date
04/10/2006
Last updated
09/11/2025
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