Grissett, Tasha

Grissett, Tasha is an individual health care provider with primary practice located at 14502 W Meeker Blvd , Sun City West AZ 85375-5282. 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. Grissett, Tasha can be contacted via phone (623) 524-8767.

Contact Information

Primary practice address
14502 W Meeker Blvd Sun City West AZ 85375-5282
Phone: (623) 524-8767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00285 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005537 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5752 Arizona

Profile Details

NPI number 1053445866
LBN Legal business name Grissett, Tasha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Nov 26th, 2014 - about 10 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 1053445866 NPPES
North Carolina MEDICAID PENDING

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