JACQUELINE MARIE BURRUEL (NPI# 1720690324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720690324 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE BURRUEL |
| Practice Address |
14032 N Lago Del Oro Pkwy Tucson AZ 85739-9608 |
| Practice Telephone | 5208184537 |
| Mailing Telephone | 5208184537 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
14032 N LAGO DEL ORO PKWY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85739-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215276811 | Kari Miller | Respite Care | 48415 E Eaglenest Trail, Tucson, AZ 85739 | 2013-02-04 |
| 1073757670 | Diversified Pharmacy Solutions, LLC | Pharmacy | 63717 E Saddle Brooke Blvd, # 1, Tucson, AZ 85739 | 2009-04-27 |
| 1134308596 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 15631 N Oracle Road, Suite 111, Tucson, AZ 85739 | 2007-11-01 |
| 1184784589 | Barbara Marie Mautner | Counselor | 37632 S. Mashie Dr., Tucson, AZ 85739 | 2006-12-08 |
| 1972614089 | W & W Rehab Services,l.l.c. | Physical Therapist | 15969 N. Oracle Rd., 171, Tucson, AZ 85739 | 2006-08-31 |
| 1750318036 | Daniel E Eggleston | Radiology | 38339 S Granite Crest, Tucson, AZ 85739 | 2006-06-26 |
| 1801377601 | Willard Dean Lynch | Nurse Practitioner | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739 | 2018-08-28 |
| 1699811588 | Joel Moncivaiz | Family Medicine | 63701 E Saddlebrooke Blvd, Ste F, Tucson, AZ 85739 | 2007-01-29 |
| 1770688988 | Korey Lynn Toensing | Chiropractor | 15601 N Oracle Rd, Catalina, AZ 85739 | 2006-09-13 |
| 1720044423 | Patrick B Shaffer | Dentist | 16701 N Oracle Rd, Suite 151, Tucson, AZ 85739 | 2006-04-22 |
| Find all providers in zip 85739 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590153 | Dominique Marilyn Gonzalez | Student in an Organized Health Care Education/Training Program | 2902 N River Creek Pl, Tucson, AZ 85745-7019 | 2020-08-25 |
| 1083227425 | Alejandra Arroyo | Student in an Organized Health Care Education/Training Program | 3046 W Autumn Breeze Dr, Tucson, AZ 85742-4857 | 2020-08-25 |
| 1306459953 | Cassandra Camacho | Student in an Organized Health Care Education/Training Program | 4229 E Boulder Springs Way, Tucson, AZ 85712-6657 | 2020-08-24 |
| 1306458161 | Danielle Williams | Student in an Organized Health Care Education/Training Program | 8310 E Kenyon Dr, Tucson, AZ 85710-4228 | 2020-08-21 |
| 1356953251 | Adora Leann Natasha Hall | Student in an Organized Health Care Education/Training Program | 1330 E Deer Canyon Rd, Tucson, AZ 85718-1094 | 2020-08-21 |
| 1588276034 | Sarah Jane Krepps | Student in an Organized Health Care Education/Training Program | 1924 N Fremont Ave, Tucson, AZ 85719-3536 | 2020-08-17 |
| 1356962260 | Jordyn J Kreutzfeldt | Student in an Organized Health Care Education/Training Program | Kerith Lisa Program Manager, 1501 N Campbell Ave, Tucson, AZ 85724-5040 | 2020-05-01 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1942837448 | Jenny La | Student in an Organized Health Care Education/Training Program | 3601 S 6th Ave # 11-112a, Tucson, AZ 85723-0001 | 2020-03-24 |
| 1689208621 | Brittany Morello | Student in an Organized Health Care Education/Training Program | 653 N Encanto Village Way, Tucson, AZ 85716-5059 | 2020-02-28 |
| Find all providers in TUCSON | ||||
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| 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.