Fawcett, Tina

Fawcett, Tina is an individual health care provider with primary practice located at 1360 N Rim Dr , Flagstaff AZ 86001-3111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fawcett, Tina can be contacted via phone (928) 774-8000.

Contact Information

Primary practice address
1360 N Rim Dr Flagstaff AZ 86001-3111
Phone: (928) 774-8000
Fax: (928) 774-0372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 354619-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP8563 Arizona

Profile Details

NPI number 1326422700
LBN Legal business name Fawcett, Tina
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated Apr 19th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326422700 NPPES
Arizona Other AP8563 ARIZONA LICENSE
Arizona MEDICAID 176578 ARIZONA LICENSE

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