Provider Demographics
NPI:1881080802
Name:INZUNZA, YULIANNA SUZETT (FNP)
Entity type:Individual
Prefix:MRS
First Name:YULIANNA
Middle Name:SUZETT
Last Name:INZUNZA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1260 S CAMPBELL AVE BLDG 2
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-0502
Mailing Address - Country:US
Mailing Address - Phone:520-407-5607
Mailing Address - Fax:520-407-5990
Practice Address - Street 1:28720 S NOGALES HWY
Practice Address - Street 2:
Practice Address - City:AMADO
Practice Address - State:AZ
Practice Address - Zip Code:85645-9997
Practice Address - Country:US
Practice Address - Phone:520-407-5510
Practice Address - Fax:520-407-5990
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily