Gravell, Tanya Nicole

Gravell, Tanya Nicole is an individual health care provider with primary practice located at 650 W Maryland Ave Ste 1 , Phoenix AZ 85013-1399. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gravell, Tanya Nicole can be contacted via phone (602) 240-2401.

Contact Information

Primary practice address
650 W Maryland Ave Ste 1 Phoenix AZ 85013-1399
Phone: (602) 240-2401
Fax: (602) 792-0244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 225524 Arizona

Profile Details

NPI number 1275099061
LBN Legal business name Gravell, Tanya Nicole
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2019
Last updated Jun 26th, 2023 - about 2 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.

Request for update

Popular Providers