Individual
MRS. TARA SUE SUNDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3003 E MCDOWELL RD, PHOENIX, AZ 85008-3620
(602) 277-4161
(602) 266-3481
Mailing address
300 W CLARENDON AVE STE 375, PHOENIX, AZ 85013-3476
(602) 277-4161
(602) 266-3481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN083714
AZ
Other
Enumeration date
09/24/2009
Last updated
09/30/2020
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