Basic Information
Provider Information
NPI: 1235807983
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARIGAN
FirstName: HAYLEY
MiddleName: FITZGERALD
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 1305 N MARTIN AVE
Address2:  
City: TUCSON
State: AZ
PostalCode: 857210001
CountryCode: US
TelephoneNumber: 5206266154
FaxNumber:  
Practice Location
Address1: 1305 N MARTIN AVE
Address2:  
City: TUCSON
State: AZ
PostalCode: 857210001
CountryCode: US
TelephoneNumber: 5206266154
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/30/2021
LastUpdateDate: 06/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN176279AZN Nursing Service ProvidersRegistered Nurse 
363LP0808X270493AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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