Provider Demographics
NPI:1487903803
Name:TUSD
Entity type:Organization
Organization Name:TUSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:YUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:NISHIHO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:520-232-7934
Mailing Address - Street 1:2120 N BEVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2128
Mailing Address - Country:US
Mailing Address - Phone:520-232-7934
Mailing Address - Fax:520-232-7901
Practice Address - Street 1:2120 N BEVERLY AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2128
Practice Address - Country:US
Practice Address - Phone:520-232-7934
Practice Address - Fax:520-232-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN082632163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty