Search › Arizona › 363LF0000X
Traci Mancuso, APRN
NPI 1619069226 · on the registry since 2006
Practice
- Address
- 4425 E Villa Cassandra Way
Cave Creek, AZ 85331 - Phone
- (206) 755-6699
- Fax
- (480) 847-2271
- Organisation at this address
- Patriotmd
Bruncuso Holdings Chapter Two LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- AZ, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona