Individual provider · Type 1 NPI

Tara Sue Sundem, NNP

Nurse Practitioner · Phoenix, AZ

NPI number 1629302567 Active

Practice location

3003 E Mcdowell Rd
Phoenix, AZ 85008-3620

Fax (602) 266-3481

Mailing address

300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN083714 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629302567

Tara Sue Sundem, NNP's National Provider Identifier is 1629302567, issued on Sep 24, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 30, 2020.