Provider Demographics
NPI:1033164074
Name:TOPMILLER, MARY J (NP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:J
Last Name:TOPMILLER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:SUITE A-100 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:6130 N LA CHOLLA BLVD
Practice Address - Street 2:SUITE 100 LA CHOLLA FAMILY PRACTICE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-742-4159
Practice Address - Fax:520-742-3493
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2010-03-01
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Provider Licenses
StateLicense IDTaxonomies
AZRN057425363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P46214Medicare UPIN