Ericson, Tammy L

Ericson, Tammy L is an individual health care provider with primary practice located at 13471 W Cornerstone Blvd , Goodyear AZ 85395-2713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ericson, Tammy L can be contacted via phone (877) 809-5092.

Contact Information

Primary practice address
13471 W Cornerstone Blvd Goodyear AZ 85395-2713
Phone: (877) 809-5092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP10254 Arizona

Profile Details

NPI number 1659819985
LBN Legal business name Ericson, Tammy L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2017
Last updated Mar 9th, 2022 - about 4 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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