Individual
FANNY T NISBET
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 W PRINCE RD, TUCSON, AZ 85705-3526
(520) 670-3909
(520) 388-7170
Mailing address
320 W PRINCE RD, TUCSON, AZ 85705-3526
(520) 792-9890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20324
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096322
—
AZ
Enumeration date
12/01/2005
Last updated
11/03/2016
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