Individual provider · Type 1 NPI
Tana Bourdage-Allman, NP-C
Adult Health Nurse Practitioner · Prescott, AZ
NPI number
1487755393
Active
Practice location
Navahcs 550 North Highway 89
Prescott, AZ 86313
Mailing address
4875 E Buffalo Grass Cir
Rimrock, AZ 86335-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | APO328 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1487755393
Tana Bourdage-Allman, NP-C's National Provider Identifier is 1487755393, issued on Sep 25, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.