Individual
MRS. TYKE CHERYLLYNN HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, FNP-C
Contact information
Practice address
2150 E ORANGE ST, TEMPE, AZ 85281-4814
(480) 350-5878
(480) 350-5865
Mailing address
2322 S ROGERS, UNIT # 11, MESA, AZ 85202-6562
(480) 839-4486
(480) 839-4486
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
AZ
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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