Provider Demographics
NPI:1467034827
Name:DEMPSEY, TANYA CORINA (DNP APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:CORINA
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:DNP APRN FNP-C
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:CORINA
Other - Last Name:TELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP APRN FNC
Mailing Address - Street 1:PO BOX 329
Mailing Address - Street 2:
Mailing Address - City:LUKACHUKAI
Mailing Address - State:AZ
Mailing Address - Zip Code:86507-0329
Mailing Address - Country:US
Mailing Address - Phone:505-350-8441
Mailing Address - Fax:
Practice Address - Street 1:PO BOX C021
Practice Address - Street 2:
Practice Address - City:TSAILE
Practice Address - State:AZ
Practice Address - Zip Code:86556-5048
Practice Address - Country:US
Practice Address - Phone:928-724-3600
Practice Address - Fax:928-724-3605
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ256136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty