person
Tara Elizabeth Estrada, PNP
Pediatric Nurse Practitioner in Phoenix, Arizona
NPI 1538417522

Tara Elizabeth Estrada is a Pediatric Nurse Practitioner based in Phoenix, AZ and is specialized in Pediatrics. Tara Elizabeth Estrada practices in Phoenix, AZ and has the professional credentials of PNP. The NPI Number for Tara Elizabeth Estrada is 1538417522 and holds a License No. AP4628 (Arizona).

The current practice location address for Tara Elizabeth Estrada is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-546-1900 and via fax at 602-546-1918.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85018-2327
person
Provider Profile Details
NPI Number
1538417522
Provider Name
Tara Elizabeth Estrada
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1919 E Thomas Rd, Phoenix, AZ, 85018-2327
Phone Number
602-546-1900
Fax Number
602-546-1918
Provider Enumeration Date
08/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
739247 05 AZ
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-546-1900
Fax Number
602-546-1918
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-546-1900
Fax Number
602-546-1918
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP4628 (Arizona)
Definition
Definition to come...
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