Provider Demographics
NPI:1073863510
Name:GHOST, DEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEE
Middle Name:
Last Name:GHOST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 44TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-5925
Mailing Address - Country:US
Mailing Address - Phone:520-225-3800
Mailing Address - Fax:250-225-3801
Practice Address - Street 1:101 W 44TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5925
Practice Address - Country:US
Practice Address - Phone:520-225-3800
Practice Address - Fax:250-225-3801
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN030619163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse