Individual provider · Type 1 NPI
Tara Gann, NP
Primary Care Nurse Practitioner · Payson, AZ
NPI number
1043691520
Active
Practice location
405 W Main St Ste B
Payson, AZ 85541-5345
Fax (844) 752-8246
Mailing address
1503 W Country Club Dr
Payson, AZ 85541-4611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP7879 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1043691520
Tara Gann, NP's National Provider Identifier is 1043691520, issued on Jun 10, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Payson, AZ. The record was last updated on Sep 13, 2019.