Organization
PRIVY CONFIDANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA RIDGEWAY PMHNP (OWNER)
(480) 605-4670
Entity
Organization
Contact information
Practice address
530 E HUNT HWY STE 103-140, SAN TAN VALLEY, AZ 85143-5224
(480) 605-4670
Mailing address
530 E HUNT HWY STE 103-140, SAN TAN VALLEY, AZ 85143-5224
(480) 605-4670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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