Provider Demographics
NPI:1316375181
Name:MD-NP ADULT MEDICINE LLC
Entity Type:Organization
Organization Name:MD-NP ADULT MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:APRAHAMIAN MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:520-440-6914
Mailing Address - Street 1:781 E PLACITA DE ARNOLDO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-2731
Mailing Address - Country:US
Mailing Address - Phone:520-440-6914
Mailing Address - Fax:
Practice Address - Street 1:77 CALLE PORTAL
Practice Address - Street 2:STE B240
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2967
Practice Address - Country:US
Practice Address - Phone:520-226-4338
Practice Address - Fax:866-479-4841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty