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 1:3188 N WINDSONG DR STE B
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-1220
Mailing Address - Country:US
Mailing Address - Phone:928-325-3525
Mailing Address - Fax:928-285-0044
Practice Address - Street 1:3188 N WINDSONG DR STE B
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-1220
Practice Address - Country:US
Practice Address - Phone:928-325-3525
Practice Address - Fax:928-285-0044
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2025-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM71452363LF0000X
TXAP140311363LF0000X
AZ289574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily