Provider Demographics
NPI:1174089718
Name:CECCHINI, ANTHONY JAMES (MSN, RN, FNP)
Entity type:Individual
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First Name:ANTHONY
Middle Name:JAMES
Last Name:CECCHINI
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Gender:M
Credentials:MSN, RN, FNP
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Mailing Address - Street 1:12361 W BOLA DR STE 109
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-9021
Mailing Address - Country:US
Mailing Address - Phone:623-227-1000
Mailing Address - Fax:623-227-2000
Practice Address - Street 1:285 LAKE HAVASU AVE S STE 100
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-0852
Practice Address - Country:US
Practice Address - Phone:928-208-4598
Practice Address - Fax:888-571-6436
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2025-01-07
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Provider Licenses
StateLicense IDTaxonomies
NM71452363LF0000X
TXAP140311363LF0000X
AZ289574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily