Healthcare Provider Details

I. General information

NPI: 1790982312
Provider Name (Legal Business Name): ANA R TANASE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7493 N ORACLE RD STE 103
TUCSON AZ
85704-6328
US

IV. Provider business mailing address

7493 N ORACLE RD STE 103
ORO VALLEY AZ
85704-6328
US

V. Phone/Fax

Practice location:
  • Phone: 520-858-0223
  • Fax:
Mailing address:
  • Phone: 520-858-0223
  • Fax: 520-523-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number44828
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44828
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: