Individual provider · Type 1 NPI

Tara Nicole Brzezinski

Physician Assistant · Flagstaff, AZ

NPI number 1124732623 Active

Practice location

1100 N San Francisco St Ste B
Flagstaff, AZ 86001-3260

Call (928) 779-7851 Map

Fax (928) 213-9990

Mailing address

PO Box 81064
Cleveland, OH 44181-0064

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10615 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124732623

Tara Nicole Brzezinski's National Provider Identifier is 1124732623, issued on Jan 9, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 14, 2026.