Individual
MRS. TAHANI PASCUAL MCCLOSKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R. N., P.N.P., MSN.
Contact information
Practice address
2120 E MARSHALL AVE, PHOENIX, AZ 85016-3113
(602) 956-4218
Mailing address
2120 E MARSHALL AVE, PHOENIX, AZ 85016-3113
(602) 956-4218
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN078818
AZ STATE BOARD OF NURSING
AZ
Enumeration date
08/21/2005
Last updated
03/07/2023
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