Alexander, Tara Selean

Alexander, Tara Selean is an individual health care provider with primary practice located at 5301 E Grant Road Tucson Medical Center Emergency Department, Tucson AZ 85712-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Alexander, Tara Selean can be contacted via phone (520) 324-1922.

Contact Information

Primary practice address
5301 E Grant Road Tucson Medical Center Emergency Department Tucson AZ 85712-2805
Phone: (520) 324-1922
Fax: (520) 324-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2575 Arizona

Profile Details

NPI number 1720160732
LBN Legal business name Alexander, Tara Selean
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720160732 NPPES
Arizona Other 773251 AHCCCS
Arizona MEDICAID 773251-01 AHCCCS
Arizona Other P00092177 AHCCCS

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