Individual
TIANA MARIE CZERNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
11232 N 65TH AVE, GLENDALE, AZ 85304-3640
(623) 412-4653
Mailing address
7536 W LIBBY ST, GLENDALE, AZ 85308-8235
(310) 279-8930
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
263473
AZ
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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