Provider Demographics
NPI:1245966308
Name:SOLIS-CUMMINGS, FELICIA D
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:D
Last Name:SOLIS-CUMMINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18330 S KOLB RD
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-8939
Mailing Address - Country:US
Mailing Address - Phone:520-808-4362
Mailing Address - Fax:
Practice Address - Street 1:400 W CAMINO CASA VERDE STE 200
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-3599
Practice Address - Country:US
Practice Address - Phone:520-625-1760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP278511363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care