Individual
EUGENE FRANCES GRZYWACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
620 N CRAYCROFT RD, TUCSON, AZ 85711-1448
(520) 519-8540
(520) 747-3260
Mailing address
PO BOX 17779, PHOENIX, AZ 85011-0779
(480) 718-0568
(480) 307-6676
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236104
AZ
Other
Enumeration date
01/06/2020
Last updated
05/20/2024
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