Old Pueblo Healthcare LLC
Old Pueblo Healthcare LLC provides Nurse Practitioner services in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5981 E Grant Rd Ste 115Tucson, AZ 85712
Phone: (520) 886-5315
Fax: (520) 298-8201
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence RN069526 (AZ) |
|---|
Record details
| NPI number | 1306890793 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael O'Neil — Ceo · (480) 660-6706 |
| Other names | Optima Medical; Optima Medical |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | June 15, 2020 |
| Certification date | June 15, 2020 |
| Mailing address | 5981 E Grant Rd, Suite 115, Tucson, AZ 85712 |
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