Individual
TAMARA R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4822 W AVENIDA DEL REY, PHOENIX, AZ 85083-2203
(602) 448-6959
Mailing address
4822 W AVENIDA DEL REY, PHOENIX, AZ 85083-2203
(602) 448-6959
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
239732
AZ
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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