Individual
MS. TAMARA SUE RIVENBURGH-CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 S. DOBSON RD, #223, CHANDLER, AZ 85286
(480) 821-8888
(480) 821-0888
Mailing address
8546 E GLENCOVE ST, MESA, AZ 85207-4111
(480) 980-6465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP0528
AZ
363LF0000X
Family Nurse Practitioner
AP0528
AZ
Other
Enumeration date
11/25/2005
Last updated
09/01/2016
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