Provider Demographics
NPI:1689992620
Name:TEMPERO, PHYLLIS (RNFA)
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:
Last Name:TEMPERO
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85520
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85754-5520
Mailing Address - Country:US
Mailing Address - Phone:520-777-4470
Mailing Address - Fax:520-777-4470
Practice Address - Street 1:3110 N LLOYD BUSH DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9071
Practice Address - Country:US
Practice Address - Phone:520-777-4470
Practice Address - Fax:520-777-4470
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-15
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN022696163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant