| Tucson Family Care, Llc | |
|
6624 E Carondelet Dr Tucson AZ 85710-2119 | |
| (520) 818-8477 | |
| (520) 333-3132 |
| Full Name | Tucson Family Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6624 E Carondelet Dr, Tucson, Arizona |
| Authorized Official Name and Position | Brenda Ann Wells (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5208188477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Family Care, Llc 6624 E. Carondelet Tucson AZ 85712-5638 Ph: (520) 818-8477 | Tucson Family Care, Llc 6624 E Carondelet Dr Tucson AZ 85710-2119 Ph: (520) 818-8477 |
| NPI Number | 1265786388 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 08/24/2017 |
| Medicare PECOS PAC ID | 5395999775 |
|---|---|
| Medicare Enrollment ID | O20130212000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265786388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Susanna K Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811056021 PECOS PAC ID: 7618997008 Enrollment ID: I20051130000478 |
| Provider Name | Brenda Ann Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356372023 PECOS PAC ID: 9638173339 Enrollment ID: I20100426000183 |
| Provider Name | Laura L Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093955023 PECOS PAC ID: 5991994253 Enrollment ID: I20110118001098 |
| Provider Name | Rachel Eldersveld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538550611 PECOS PAC ID: 1951627611 Enrollment ID: I20150224001801 |
| Provider Name | Sharon J Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699196865 PECOS PAC ID: 0547583304 Enrollment ID: I20161116000328 |
| Provider Name | Pamela A Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457553 PECOS PAC ID: 3577835479 Enrollment ID: I20170825003479 |
| Provider Name | Beverly A Capili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264253 PECOS PAC ID: 9931465432 Enrollment ID: I20171116002159 |
| Provider Name | David A Vercel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687023 PECOS PAC ID: 5890127724 Enrollment ID: I20191115000144 |
| Provider Name | Karen Martha Vernon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720392053 PECOS PAC ID: 2668882341 Enrollment ID: I20201109001447 |
| Provider Name | Mary Michelle Najera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104537 PECOS PAC ID: 6103213756 Enrollment ID: I20220428001925 |
| Provider Name | Sara Beth Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700533296 PECOS PAC ID: 3375920648 Enrollment ID: I20220517002266 |
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