MR. KIRK ALAN TJALAS


Address: 7953 N Coltrane Ln, Tucson, AZ 85743-7330
Phone: 5203340100

MR. KIRK ALAN TJALAS (NPI# 1487930871) 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) 1487930871
Entity Type Individual
Full Name MR. KIRK ALAN TJALAS
Other Name KIRK ALAN TJALAS
Credential FNP-BC
Practice Address 7953 N Coltrane Ln
Tucson
AZ 85743-7330
Practice Telephone 5203340100
Practice Fax Number 8665319664
Mailing Telephone 5203340100
Mailing Fax Number 8665319664
Enumeration Date 2011-10-29
Last Update Date 2019-10-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WH0200X Registered Nurse
Specialization: Home Health
RN124753 AZ Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
234051 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ DEEOIC HOME HEALTH CARE PROVIDER 615761900 01

Office Location

Street Address 7953 N COLTRANE LN
City TUCSON
State AZ
Zip Code 85743-7330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659642635 Victory Medical Solutions LLC Registered Nurse 7953 N Coltrane Ln, Tucson, AZ 85743-7330 2012-01-23

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85743

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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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