Individual
MS. CHRISTINE MARIE PONCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6130 N LA CHOLLA BLVD, TUCSON, AZ 85741-3557
(520) 742-4159
Mailing address
8738 N AURIGA WAY, TUCSON, AZ 85742-4817
(520) 820-0874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
228968
AZ
Other
Enumeration date
07/08/2019
Last updated
03/25/2020
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