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Individual

MS. RIVER TAMMETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6700 N ORACLE RD STE 505, TUCSON, AZ 85704-7736
(520) 330-2334
Mailing address
PO BOX 18, POMERENE, AZ 85627-0018
(520) 428-4224

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
208983
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
289135
AZ

Other

Enumeration date
01/04/2023
Last updated
03/14/2023
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