Griffin, Tara

Griffin, Tara is an individual health care provider with primary practice located at 1711 S Extension Rd Apt 2064 , Mesa AZ 85210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Griffin, Tara can be contacted via phone (928) 242-7834.

Contact Information

Primary practice address
1711 S Extension Rd Apt 2064 Mesa AZ 85210
Phone: (928) 242-7834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7647 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 6682A Arizona

Profile Details

NPI number 1013279348
LBN Legal business name Griffin, Tara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Nov 13th, 2019 - about 6 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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