MR. ALBERT PAUL WILLISON


Address: 5860 N La Cholla Blvd, Suite 150, Tucson, AZ 85741-3596
Phone: 5203950512

MR. ALBERT PAUL WILLISON (NPI# 1619133253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619133253
Entity Type Individual
Full Name MR. ALBERT PAUL WILLISON
Credential ARNP
Practice Address 5860 N La Cholla Blvd
Suite 150
Tucson
AZ 85741-3596
Mailing Address Po Box 70232
Tucson
AZ 85737-0030
Practice Telephone 5203950512
Practice Fax Number 5205054108
Mailing Telephone 5203950512
Mailing Fax Number 5205054108
Enumeration Date 2008-08-04
Last Update Date 2014-07-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner ARNP2910702 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP3237 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP2910702 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE LICENSE AP3237 01
FL STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALIT ARNP2910702 01

Office Location

Street Address 5860 N LA CHOLLA BLVD
SUITE 150
City TUCSON
State AZ
Zip Code 85741-3596

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356334528 Richard V Chua Neurological Surgery 5860 N La Cholla Blvd, #100, Tucson, AZ 85741-3596 2005-08-23
1639634884 Alicia Jarrell Nurse Practitioner 5860 N La Cholla Blvd, Tucson, AZ 85741-3596 2019-02-01
1356734800 Kasey Cross Nurse Practitioner 5860 N La Cholla Blvd, Suite #100, Tucson, AZ 85741-3596 2015-03-09
1104138841 Kai Marie Denski Psychiatry & Neurology 5860 N La Cholla Blvd, Tucson, AZ 85741-3596 2010-07-10
1659366300 Thomas B Scully Neurological Surgery 5860 N La Cholla Blvd, #100, Tucson, AZ 85741-3596 2005-09-19
1679568869 Timothy K Putty Neurological Surgery 5860 N La Cholla Blvd, #100, Tucson, AZ 85741-3596 2005-09-14

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NPI Name Taxonomy Address Enumeration
1831790237 Taylor Seery Schwab Occupational Therapist Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 2020-11-03
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1326474982 Leslie L Ledbetter Nurse Practitioner 3945 E Paradise Falls Dr, Suite 201, Tucson, AZ 85712-6683 2013-09-15
1427263094 Bari Jill Orozco Nurse Practitioner 6365 E Tanque Verde Rd, Tucson, AZ 85715-3830 2007-05-14
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1760090427 Debra Shannon Witthar Nurse Practitioner 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 2020-07-20
1255955506 Christy J Holloway Nurse Practitioner 2645 E Southern Ave, Tempe, AZ 85282-7649 2020-06-02
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Competitor

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City TUCSON
Zip Code 85741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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