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NPI 1083674063 · live from the CMS NPI Registry

Dhhs-Phs, Ihs Tucson Area, Ihs Tucson

Licensed Practical Nurse in Sells, AZ. National Provider Identifier 1083674063, active.

NPI record

NPI1083674063 Type 2 · organization
StatusActive
Primary specialtyLicensed Practical Nurse 164W00000X
Practice locationHighway 86 At Topawa Road, Sells, AZ 85634
Practice phone520-383-7251
Mailing address7900 S J Stock Rd, Tucson, AZ 85746
EnumeratedMarch 24, 2006
Last updatedSeptember 11, 2025
Authorized officialKurt Priessman, Accounting And Budget Officer
Other namesSells Indian Hospital Nursing

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Administrator163WA2000X—
Registered Nurse, Emergency163WE0003X—
Registered Nurse, Community Health163WC1500X—
Registered Nurse, Critical Care Medicine163WC0200X—
Registered Nurse, Infection Control163WI0600X—
Registered Nurse, Case Management163WC0400X—
Registered Nurse, Diabetes Educator163WD0400X—
Registered Nurse, Ambulatory Care163WP2201X—
Registered Nurse, Women's Health Care, Ambulatory163WW0101X—
Licensed Practical Nurse primary164W00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.