Individual
TAMAR GREENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4451 E OAK ST, PHOENIX, AZ 85008-2410
(602) 599-5434
(602) 599-5734
Mailing address
202 E EARLL DR STE 200, PHOENIX, AZ 85012-2647
(602) 808-2800
(602) 808-2799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011587
—
AZ
Enumeration date
06/30/2011
Last updated
12/18/2017
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