Individual
MRS. CODDIE L TATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7975 N HAYDEN RD STE D354, SCOTTSDALE, AZ 85258-3243
(480) 214-9720
(480) 214-9722
Mailing address
17729 W RED BIRD RD, SURPRISE, AZ 85387-1033
(480) 343-0481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
250869
AZ
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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