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Contact Information

TAMARA S RIVENBURGH CASILLAS, FNP
1100 S. DOBSON RD
#223
CHANDLER, AZ85286
 Phone: 480-821-8888
 Fax: 480-821-0888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMARA S RIVENBURGH CASILLAS · (Female)

NPI # 1134102965
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/25/2005
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP0528
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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