MRS. TYKE CHERYLLYNN HANISCH


Address: 2150 E Orange St, Tempe, AZ 85281-4814
Phone: 4803505878

MRS. TYKE CHERYLLYNN HANISCH (NPI# 1326101932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326101932
Entity Type Individual
Full Name MRS. TYKE CHERYLLYNN HANISCH
Credential RN, MS, FNP-C
Practice Address 2150 E Orange St
Tempe
AZ 85281-4814
Mailing Address 2322 S Rogers
Unit # 11
Mesa
AZ 85202-6562
Practice Telephone 4803505878
Practice Fax Number 4803505865
Mailing Telephone 4808394486
Mailing Fax Number 4808394486
Enumeration Date 2006-12-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2150 E ORANGE ST
City TEMPE
State AZ
Zip Code 85281-4814

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NPI Name Taxonomy Address Enumeration
1194058917 Arizona State University Clinic/Center 2150 E Orange St, Tempe, AZ 85281-4814 2009-09-11

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1013374206 Alayna M Despain Nurse Practitioner 2033 E Warner Rd, Suite 109, Tempe, AZ 85284-3417 2016-01-20

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Competitor

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City TEMPE
Zip Code 85281

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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