Most Relevant Information
Provider Data
| NPI Number: | 1003527607 |
| Provider Name: | TAMARA M. PEACOCK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | RN210287 |
Most Important Dates
| Enumeration Date: | 12/06/2022 |
| Last Updated: | 12/06/2022 |
Provider Practice Location
CORNER ROUTE 7 AND ROUTE 12
FORT DEFIANCE
AZ
86504
Practice Location Phone/Fax
| Phone: | 9287298600 |
| Fax: |
Provider Mailing Location
1050 N NAPLES DR
CHANDLER
AZ
852267607
Provider Mailing Phone/Fax
| Phone: | 4804089520 |
| Fax: |