Basic Information
Provider Information
NPI: 1225083314
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHICK-YOUNG
FirstName: SYLVIA
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5055 E BROADWAY BLVD
Address2: STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
City: TUCSON
State: AZ
PostalCode: 857113640
CountryCode: US
TelephoneNumber: 5203270460
FaxNumber: 5207950225
Practice Location
Address1: 1200 N EL DORADO PL
Address2: STE I-900 DR. LEFF
City: TUCSON
State: AZ
PostalCode: 857154637
CountryCode: US
TelephoneNumber: 5202988525
FaxNumber: 5202988366
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 03/01/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XRN087898AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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