Provider Demographics
NPI:1962675660
Name:DENIRO, NANCY TARA (AUDIOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:TARA
Last Name:DENIRO
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1775 W SAINT MARYS RD
Mailing Address - Street 2:STE 211
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2696
Mailing Address - Country:US
Mailing Address - Phone:520-792-2170
Mailing Address - Fax:520-792-9702
Practice Address - Street 1:1775 W SAINT MARYS RD
Practice Address - Street 2:STE 211
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2696
Practice Address - Country:US
Practice Address - Phone:520-792-2170
Practice Address - Fax:520-792-9702
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1175237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter