Provider Demographics
NPI:1316463102
Name:GARRIGAN, RONDA KAY (FNP)
Entity type:Individual
Prefix:
First Name:RONDA
Middle Name:KAY
Last Name:GARRIGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RONDA
Other - Middle Name:
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1501 S CHERRYBELL STRA PO BOX 27292
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85726-7292
Mailing Address - Country:US
Mailing Address - Phone:520-850-0449
Mailing Address - Fax:855-711-4196
Practice Address - Street 1:3920 S TUCSON ESTATES PKWY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85735-1271
Practice Address - Country:US
Practice Address - Phone:520-850-0449
Practice Address - Fax:855-711-4196
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10352363LP2300X
AZRN077151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily