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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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