MEDICARE: SUZZAN M TARNO CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1-084184	AL
2	363LA2100X	Acute Care Nurse Practitioner	247230	AZ

General Provider Information

NPI Number	:	1376571778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZZAN M TARNO CRNP

Provider Business Mailing Address
First Line	:	409 S 104TH AVE
Second Line	:
City	:	TOLLESON
State	:	AZ
Zip	:	85353-9236
Country	:	US
Telephone Number	:	623-907-1846
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 S 104TH AVE
Second Line	:
City	:	TOLLESON
State	:	AZ
Zip	:	85353-9236
Country	:	US
Telephone Number	:	623-907-1846
Fax Number	:	623-907-1847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/02/2025

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Directions to “ SUZZAN M TARNO CRNP” Practice Location

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