Provider Demographics
NPI:1568185809
Name:CONCIO, NANCY (APRN-FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CONCIO
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S IRONWOOD DR STE 101
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-5047
Mailing Address - Country:US
Mailing Address - Phone:480-982-1265
Mailing Address - Fax:480-984-5447
Practice Address - Street 1:750 S IRONWOOD DR STE 101
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5047
Practice Address - Country:US
Practice Address - Phone:480-982-1265
Practice Address - Fax:480-984-5447
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ281111363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner