Individual
PROF. ERIC TUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP
Contact information
Practice address
10329 W MONTEBELLO AVE, GLENDALE, AZ 85307-4313
(714) 467-6281
(602) 786-7796
Mailing address
10329 W MONTEBELLO AVE, GLENDALE, AZ 85307-4313
(714) 467-6281
(602) 786-7796
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95010580
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10517
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2015
Last updated
07/17/2020
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