Healthcare Provider Details

I. General information

NPI: 1659107696
Provider Name (Legal Business Name): TALER SUGGS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 S DOBSON RD
CHANDLER AZ
85286-7374
US

IV. Provider business mailing address

2010 S DOBSON RD
CHANDLER AZ
85286-7374
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number258584
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: