Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA GANN, NP
Active Sole ProprietorTARA GANN, NP is a Primary Care Nurse Practitioner healthcare provider located in PAYSON, Arizona. NPI 1043691520 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · PAYSON, AZ
Registration Details
- NPI Number
- 1043691520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2015 (11.18680882368 yrs)
- Last Updated
- Sep 13, 2019
- License
-
AP7879 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 W MAIN ST STE BPAYSON, AZ, 855415345Browse AZ providers · Browse ZIP 85541
- Phone
- 9284726000
- Fax
- 8447528246
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.