Quartullo, Tirsa Carolina

Quartullo, Tirsa Carolina is an individual health care provider with primary practice located at 3104 E Indian School Rd Ste 100 , Phoenix AZ 85016-6873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Quartullo, Tirsa Carolina can be contacted via phone (480) 590-6600.

Contact Information

Primary practice address
3104 E Indian School Rd Ste 100 Phoenix AZ 85016-6873
Fax: (480) 590-5695
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN118603 Arizona

Profile Details

NPI number 1467455477
LBN Legal business name Quartullo, Tirsa Carolina
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 19th, 2024 - about 2 years 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 1467455477 NPPES
Arizona MEDICAID 829567

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