Individual
MS. TARA E BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6145 W CHANDLER BLVD # 2, CHANDLER, AZ 85226-3434
(480) 454-8744
Mailing address
6145 W CHANDLER BLVD # 2, CHANDLER, AZ 85226-3434
(480) 454-8744
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110004433
VA
363AS0400X
Surgical Physician Assistant
MA051911
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA051911
MEDICAL LICENSE
PA
Enumeration date
09/26/2005
Last updated
06/15/2025
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