Dirks, Cecilia

Dirks, Cecilia is an individual health care provider with primary practice located at 5979 E Grant Rd Suite 107, Tucson AZ 85712-2367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dirks, Cecilia can be contacted via phone (520) 795-9912.

Contact Information

Primary practice address
5979 E Grant Rd Suite 107 Tucson AZ 85712-2367
Phone: (520) 795-9912
Fax: (520) 795-9934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN071765 Arizona

Profile Details

NPI number 1508836479
LBN Legal business name Dirks, Cecilia
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 14th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508836479 NPPES
Arizona MEDICAID 325220

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