IndividualActive
Tammy Park
NPI 1679357610 · Maternal Newborn Registered Nurse · San Tan Valley, AZ
Provider details
- NPI number
- 1679357610
- Entity type
- Individual
- Primary specialty
- Maternal Newborn Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 262285 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
34379 N Ebony Rd
San Tan Valley, AZ 85144-0081
Phone: (480) 907-9022
Approximate (ZIP-level) locationGet directions
Mailing address
34379 N Ebony Rd
San Tan Valley, AZ 85144-0081
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.