Emmanuel Fon
Emmanuel Fon is a Nurse Practitioner in Tucson, Arizona. Qualified in 2021, 5 years ago. Practices with Codac Health Recovery and Wellness, a 28-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 5
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
4880 N Sabino Canyon Rd Apt 18183Tucson, AZ 85750-7012
Phone: (205) 567-6806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 294566 (AZ) |
|---|
Record details
| NPI number | 1740020452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2024 |
| Last updated in NPPES | September 4, 2025 |
| Certification date | September 4, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Codac Health Recovery And Wellness — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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