Individual
TARA ANASTASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 229-8354
Mailing address
1838 S ROSE CIR, MESA, AZ 85204-6954
(480) 229-8354
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN123205
AZ
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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