Individual
HAZEL MARIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10000 N SLOT AVE, STE A105 ARETA COUNSELING, PHOENIX, AZ 85051
(602) 749-1171
(602) 749-8588
Mailing address
2002 W SUNNYDALE DR, #3114, PHOENIX, AZ 85029
(602) 944-2208
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN052975
AZ
Other
Enumeration date
09/11/2006
Last updated
03/07/2023
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