Individual provider · Type 1 NPI
Tina Michelle Eldrige
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1629746409
Active
Practice location
610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Fax (602) 441-5836
Mailing address
3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Other practice locations
- 1864 S Hall, Mesa, AZ 85204-6887 · (928) 581-2636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN190854 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 306836 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629746409
Tina Michelle Eldrige's National Provider Identifier is 1629746409, issued on Sep 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 3, 2024.