Provider Demographics
NPI:1053303388
Name:MCCONAUGHY, NANCY ANN (RN MSN FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:MCCONAUGHY
Suffix:
Gender:F
Credentials:RN MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 36179
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85740-6179
Mailing Address - Country:US
Mailing Address - Phone:520-296-9399
Mailing Address - Fax:520-296-9551
Practice Address - Street 1:1921 W. HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7806
Practice Address - Country:US
Practice Address - Phone:520-296-9399
Practice Address - Fax:520-296-9551
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ RN064656363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner