Goetz-Campos, Cacie Lee

Goetz-Campos, Cacie Lee is an individual health care provider with primary practice located at 830 Ainsworth Dr , Prescott AZ 86301-1630. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goetz-Campos, Cacie Lee can be contacted via phone (928) 777-5800.

Contact Information

Primary practice address
830 Ainsworth Dr Prescott AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 268788 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 268788 Arizona

Profile Details

NPI number 1700537321
LBN Legal business name Goetz-Campos, Cacie Lee
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2022
Last updated Oct 25th, 2023 - about 3 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 1700537321 NPPES
Arizona MEDICAID 123639

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