TIBA CARE PLLC

TEMPE, AZ
NPI1417469669
Entity TypeOrganization
Authorized ContactJENNIFER GRESHAM
Family Nurse Practitioner
623-226-8105
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP8433)
Enumeration Date2017-10-27
Last Update Date2017-10-27
Business Address
TIBA CARE PLLC
315 W ELLIOT RD STE 107-167
TEMPE, AZ 85284-1328
Phone number: 623-226-8105
Mailing Address
TIBA CARE PLLC
5810 S 35TH PL
PHOENIX, AZ 85040-2844
Phone number: 314-757-8291