Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelica Marie Granillo, FNP-C

Individual provider Family Nurse Practitioner · NPI 1477285880

Angelica Marie Granillo, FNP-C is a Nurse Practitioner in Tucson, Arizona. Qualified in 2020, 6 years ago. Practices with Tucson Physician Group Holdings LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5605 E River Rd Ste 219
Tucson, AZ 85750-1900
Phone: (520) 314-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 276426 (AZ)

Record details

NPI number1477285880
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 26, 2022
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tucson Physician Group Holdings Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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