ELISE FASSLER KONIGSBERG


Address: 1665 S Lacholla, Tucson, AZ 85713
Phone: 5206283068

ELISE FASSLER KONIGSBERG (NPI# 1770512931) 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) 1770512931
Entity Type Individual
Full Name ELISE FASSLER KONIGSBERG
Credential WHCNP
Practice Address 1665 S Lacholla
Tucson
AZ 85713
Mailing Address 2255 N Wyatt Dr
Tucson
AZ 85712
Practice Telephone 5206283068
Practice Fax Number 5206284315
Mailing Telephone 5206241761
Mailing Fax Number 5206228743
Enumeration Date 2006-07-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN047199 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 643925 05

Office Location

Street Address 1665 S LACHOLLA
City TUCSON
State AZ
Zip Code 85713

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NPI Name Taxonomy Address Enumeration
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NPI Name Taxonomy Address Enumeration
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1215381736 Nancy G Larison Counselor 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 2016-04-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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Competitor

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City TUCSON
Zip Code 85713

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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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