Individual
TARA DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13472 W COTTONWOOD ST, SURPRISE, AZ 85374-5437
(602) 618-1826
Mailing address
13472 W COTTONWOOD ST, SURPRISE, AZ 85374-5437
(602) 618-1826
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
261879
AZ
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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