Most Relevant Information
Provider Data
NPI Number: | 1003229782 |
Provider Name: | TAMERA ANN YOUNGBLOOD ACNP |
Entity Type: | Individual |
Taxonomy Code: | 363LA2100X |
Specialty: | Nurse Practitioner |
License Number: | C-APN.0101910-C-NP |
Most Important Dates
Enumeration Date: | 06/10/2014 |
Last Updated: | 06/10/2024 |
Provider Practice Location
14570 E SWEETWATER AVE
SCOTTSDALE
AZ
852594633
Practice Location Phone/Fax
Phone: | 6024638064 |
Fax: | 8008770713 |
Provider Mailing Location
14570 E SWEETWATER AVE
SCOTTSDALE
AZ
852594633
Provider Mailing Phone/Fax
Phone: | 6024638064 |
Fax: | 8008770713 |