Peacock, Tamara M.

Peacock, Tamara M. is an individual health care provider with primary practice located at Corner Route 7 And Route 12 , Fort Defiance AZ 86504. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Peacock, Tamara M. can be contacted via phone (928) 729-8600.

Contact Information

Primary practice address
Corner Route 7 And Route 12 Fort Defiance AZ 86504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN210287 Arizona

Profile Details

NPI number 1003527607
LBN Legal business name Peacock, Tamara M.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2022
Last updated Dec 6th, 2022 - 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