Healthcare Provider Details

I. General information

NPI: 1114807351
Provider Name (Legal Business Name): TEMPEST SPEARS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7762 N RED WING CIR
TUCSON AZ
85741-1335
US

IV. Provider business mailing address

7762 N RED WING CIR
TUCSON AZ
85741-1335
US

V. Phone/Fax

Practice location:
  • Phone: 520-425-0774
  • Fax:
Mailing address:
  • Phone: 520-425-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN133565
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: