Provider Demographics
NPI:1104926914
Name:ARIZONA FIRST ASSISTANTS
Entity type:Organization
Organization Name:ARIZONA FIRST ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KENDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-318-6039
Mailing Address - Street 1:PO BOX 42123
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-2123
Mailing Address - Country:US
Mailing Address - Phone:520-318-6039
Mailing Address - Fax:520-320-0081
Practice Address - Street 1:9652 E RAND PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5832
Practice Address - Country:US
Practice Address - Phone:520-318-6039
Practice Address - Fax:520-320-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN098085163WM0705X
AZRN063577163WM0705X
AZRN040651163WM0705X
AZRN032325163WM0705X
AZRN073883163WM0705X
AZ1112246ZS0410X
AZAP1533364SM0705X
AZAP1534364SM0705X
AZ0038364SM0705X
AZ026364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-SurgicalGroup - Multi-Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ60124Medicare PIN