Individual provider · Type 1 NPI
Tara Michelle Ridgeway, APRN
Psychiatric/Mental Health Nurse Practitioner · San Tan Valley, AZ
NPI number
1851934988
Active
Practice location
530 E Hunt Hwy Ste 103-140
San Tan Valley, AZ 85143-5224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209019368 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 231483 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1851934988
Tara Michelle Ridgeway, APRN's National Provider Identifier is 1851934988, issued on Oct 22, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jan 6, 2021.