Ridgeway, Tara Michelle
Ridgeway, Tara Michelle is an sole proprietor health care provider with primary practice located at 530 E Hunt Hwy Ste 103-140 , San Tan Valley AZ 85143-5224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ridgeway, Tara Michelle can be contacted via phone (480) 605-4670.Contact Information
Primary practice address
530 E Hunt Hwy Ste 103-140
San Tan Valley AZ 85143-5224
Phone: (480) 605-4670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209019368 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 231483 | Arizona |
Profile Details
NPI number | 1851934988 |
---|---|
LBN Legal business name | Ridgeway, Tara Michelle |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 22nd, 2019 |
Last updated | Jan 6th, 2021 - about 3 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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