Individual
ERICA RENEE BAZUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1669 W INA RD STE 101, TUCSON, AZ 85704-1976
(520) 795-6183
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11437
AZ
Other
Enumeration date
06/28/2018
Last updated
10/20/2022
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