MS. CHRISTINE MARIE PONCAVAGE


Address: 6130 N La Cholla Blvd, Tucson, AZ 85741-3557
Phone: 5207424159

MS. CHRISTINE MARIE PONCAVAGE (NPI# 1710549936) 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) 1710549936
Entity Type Individual
Full Name MS. CHRISTINE MARIE PONCAVAGE
Credential FNP-C
Practice Address 6130 N La Cholla Blvd
Tucson
AZ 85741-3557
Mailing Address 8738 N Auriga Way
Tucson
AZ 85742-4817
Practice Telephone 5207424159
Mailing Telephone 5208200874
Enumeration Date 2019-07-08
Last Update Date 2020-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
228968 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6130 N LA CHOLLA BLVD
City TUCSON
State AZ
Zip Code 85741-3557

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NPI Name Taxonomy Address Enumeration
1962498584 Miki Paul Psychologist 6130 N La Cholla Blvd, Ste 100, Tucson, AZ 85741-3589 2005-09-20
1851780019 Eye Associates Ophthalmology 6130 N La Cholla Blvd, Suite 245, Tucson, AZ 85741-3557 2015-01-12
1073768057 Lilah Fran Morris-wiseman Surgery 6130 N La Cholla Blvd, Ste 210, Tucson, AZ 85741-3574 2008-11-18
1659536480 Larissa Maria Allen Internal Medicine 6130 N La Cholla Blvd, Suite 200, Tucson, AZ 85741-3557 2008-07-21
1215107750 Romeo F Esquivel Md Pllc Internal Medicine 6130 N La Cholla Blvd, Suite 210, Tucson, AZ 85741-3557 2008-03-11
1841460748 Ayaaz Ismail Md Pllc Internal Medicine 6130 N La Cholla Blvd, Suite 210, Tucson, AZ 85741-3557 2008-03-06
1790827574 Northwest Center for Geriatric Medicine Internal Medicine 6130 N La Cholla Blvd, Suite #117, Tucson, AZ 85741-3557 2007-02-12
1235275785 Dorota E Pucyk Internal Medicine 6130 N La Cholla Blvd, Suite 2100, Tucson, AZ 85741-3557 2007-01-30
1033164074 Mary J Topmiller Nurse Practitioner 6130 N La Cholla Blvd, Suite 100 La Cholla Family Practice, Tucson, AZ 85741 2006-05-24
1962456889 Northwest Tucson Surgery Center Lp Clinic/Center 6130 N La Cholla Blvd, Tucson, AZ 85741-3557 2006-05-22
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Providers in the same zip code

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
1366095374 Rita Jean Weatherholt Counselor 7382 N Lacholla Blvd., Tucson, AZ 85741 2019-07-18
1225690076 Center for Pain Management LLC Clinic/Center 6060 N Fountain Drive, Tucson, AZ 85741 2019-07-02
1124506019 Emily Jensen Speech-Language Pathologist Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 2018-08-01
1366954703 Solterra La Cholla Operations, Lp Assisted Living Facility 6505 North La Cholla Blvd, Tucson, AZ 85741 2017-10-25
1932636123 Tucson Digestive Institute LLC Clinic/Center 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 2017-05-18
1336591437 Eugene Choi Dentist 7578 N. La Cholla Blvd, Tucson, AZ 85741 2016-07-13
1841672763 Gang Li Dentist 2242 W Distant Song St., Tucson, AZ 85741 2015-06-27
1467870378 Lisa Tucci Nurse Practitioner 7105 N. Lacholla Blvd., Tucson, AZ 85741 2014-03-29
1457639197 Vanessa Moore Speech-Language Pathologist 3400 West Massingale Road, Tucson, AZ 85741 2011-07-29
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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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NPI Name Taxonomy Address Enumeration
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1548876675 Kara Gilliland Nurse Practitioner 5129 W Placita Del Herrero, Tucson, AZ 85745-9720 2020-09-23
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1770196628 Victoria C. Weirick Nurse Practitioner 7733 E Marquise Dr, Tucson, AZ 85715-3778 2020-08-28
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1013526409 Lora K White Nurse Practitioner 4170 N Camino Arco, Tucson, AZ 85718-7064 2020-07-30
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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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