NPI 1750603049 · live from the CMS NPI Registry
Susan Ellen Gabbard, RNFA
Nurse Practitioner, Family in Tucson, AZ. National Provider Identifier 1750603049, active.
NPI record
| NPI | 1750603049 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2601 S Houghton Rd, Tucson, AZ 85730 |
| Practice phone | 866-389-2727 |
| Mailing address | Po Box 35380, Las Vegas, NV 89133 |
| Enumerated | February 27, 2010 |
| Last updated | August 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | RN098819 (AZ) |
| Nurse Practitioner, Family primary | 363LF0000X | AP7453 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.