Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Robert Paul, FNP-C

Individual provider Family Nurse Practitioner · NPI 1679963169

Anthony Robert Paul, FNP-C is a Nurse Practitioner in Peridot, Arizona. Qualified in 2013, 13 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2015
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

103 Medicine Way Rd
Peridot, AZ 85542
Phone: (928) 475-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP7322 (AZ)

Record details

NPI number1679963169
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedFebruary 4, 2015
Last updated in NPPESMarch 28, 2018
Mailing address103 Medicine Way Road, Peridot, AZ 85542

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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