| Doctor Name: | MR. ANTO N VUKANCIC |
| NPI Number: | 1093058950 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | AP4837 |
| Business Practice Address: | 3212 N Windsong Dr Suite 200 Prescott Valley, AZ - 863142255 |
| Business Phone Number: | 9285831000 |
| Business Fax Number: | 8667514157 |
| Mailing Address: | 1090 Commerce Dr, PRESCOTT |
| State: | AZ |
| Postal Code: | 863053700 |
| Phone Number: | 9285831000 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2013 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | AP4837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |