Mary Jo Gagan is a Adult Health in Tucson, Arizona. Mary Jo Gagan practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Mary Jo Gagan is 1831170364. The last update date is 2007-07-08.
Mary Jo Gagan's current location address is 1775 E Skyline Dr, Tucson, Arizona. You can contact this provider via phone number 5206156200 and fax number 5206156255. The mailing address for Mary Jo Gagan is 1775 E Skyline Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Gagan |
|---|---|
| Address | 1775 E Skyline Dr, Tucson, Arizona |
| Phone Number | 5206156200 |
| Fax Number | 5206156255 |
| Sole Proprietor | X |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1831170364 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1775 E Skyline Dr |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857181162 |
| Phone Number | 5206156200 |
| Fax Number | 5206156255 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | RN093619 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 918021 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Jo Gagan by the Centers for Medicare & Medicaid Services?
The Mary Jo Gagan has been assigned the NPI (National Provider Identifier) 1831170364 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary Jo Gagan is geographically located?
The Mary Jo Gagan is physically situated at the following location: 1775 E Skyline Dr, Tucson, AZ, 857181162.
What is Mary Jo Gagan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jo Gagan's area of specialization is Adult Health, and the corresponding taxonomy code that categorizes this field of practice is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831170364 to Mary Jo Gagan?
The Mary Jo Gagan received its 1831170364 assignment from the Centers for Medicare & Medicaid Services on 2005-11-10.
When was the Mary Jo Gagan's information last updated?
The Mary Jo Gagan's information was last updated on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI