Provider Demographics
NPI:1033181284
Name:PARTAIN, CONNIE D MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:D MARIE
Last Name:PARTAIN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 43100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3100
Mailing Address - Country:US
Mailing Address - Phone:520-722-3777
Mailing Address - Fax:520-296-6224
Practice Address - Street 1:1400 N WILMOT RD
Practice Address - Street 2:STE # 110
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4498
Practice Address - Country:US
Practice Address - Phone:520-884-4999
Practice Address - Fax:520-300-6669
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2011-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ4852363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant