Individual
TAMARA K HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11331 S SANTA FE LN, GOODYEAR, AZ 85338-9352
(623) 546-0411
(623) 546-0411
Mailing address
11331 S SANTA FE LN, GOODYEAR, AZ 85338-9352
(623) 546-0411
(623) 546-0411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN114395
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894312
—
AZ
Enumeration date
11/29/2006
Last updated
09/26/2012
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