Provider Demographics
NPI:1356868160
Name:CAYGOZ, ERKAN ANTHONY (NP)
Entity type:Individual
Prefix:
First Name:ERKAN
Middle Name:ANTHONY
Last Name:CAYGOZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 86537
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85754-6537
Mailing Address - Country:US
Mailing Address - Phone:520-721-1887
Mailing Address - Fax:520-372-7126
Practice Address - Street 1:2545 S ARIZONA AVE BLDG A-D
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7364
Practice Address - Country:US
Practice Address - Phone:928-376-0220
Practice Address - Fax:928-344-2861
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10461363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP10461OtherARIZONA BOARD OF NURSING
AZ326931Medicaid