Individual
MS. ANDREA MARIA COLUSSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2001 W ORANGE GROVE RD STE 312, TUCSON, AZ 85704-1141
(520) 297-8429
(520) 989-3486
Mailing address
PO BOX 36627, TUCSON, AZ 85740-6627
(520) 297-8429
(520) 989-3486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN035844
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463076
AHCCCS
AZ
01
—
WA536164213
RAILROAD MEDICARE
AZ
Enumeration date
04/20/2006
Last updated
01/08/2013
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