Individual
TAMMY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34379 N EBONY RD, SAN TAN VALLEY, AZ 85144-0081
(480) 907-9022
Mailing address
34379 N EBONY RD, SAN TAN VALLEY, AZ 85144-0081
(480) 907-9022
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
262285
AZ
Other
Enumeration date
08/21/2023
Last updated
03/26/2026
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