MAURA BRIDGET TARDIF


Address: 5505 W Chandler Blvd Ste B13, Chandler, AZ 85226-3681
Phone: 4803614780

MAURA BRIDGET TARDIF (NPI# 1528216371) 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) 1528216371
Entity Type Individual
Full Name MAURA BRIDGET TARDIF
Credential PA-C
Practice Address 5505 W Chandler Blvd Ste B13
Chandler
AZ 85226-3681
Practice Telephone 4803614780
Practice Fax Number 4803614781
Mailing Telephone 4803614780
Mailing Fax Number 4803614781
Enumeration Date 2008-09-05
Last Update Date 2018-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant MI Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
AZ4421 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 439087 05

Office Location

Street Address 5505 W CHANDLER BLVD STE B13
City CHANDLER
State AZ
Zip Code 85226-3681

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922594076 Diplomat Specialty Pharmacy of Phoenix, LLC Durable Medical Equipment & Medical Supplies 485 N Juniper Dr, Chandler, AZ 85226 2018-07-02
1073011961 Joshua David Heiller Physical Therapist 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 2018-01-25
1053771808 Jessie Beliard Counselor 6909 W Ray Rd Ste 138, Chandler, AZ 85226 2016-03-07
1750754206 Homestead Hospice of Phoenix LLC Hospice Care, Community Based 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 2015-11-05
1003288192 Savannah Torrez Physical Therapist 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 2015-10-28
1437401528 Larry W. Ganann Pharmacist 4949 W. Ray Road, Chandler, AZ 85226 2012-10-12
1629329503 East Valley Urgent Care,llc Clinic/Center 4959 W Ray Road, Chandler, AZ 85226 2012-10-02
1457609158 Patricia Dobratz Marriage & Family Therapist 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 2012-08-28
1831406388 Chanda Lise Gonzales Counselor 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226 2010-09-04
1689874323 Arizona Dental Design Dentist 4940 W. Ray Road Suite 8, Chandler, AZ 85226 2007-07-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184080442 Wayna Heidi Liu Physician Assistant 2950 S Alma School Rd Ste 1, Chandler, AZ 85286-8120 2016-01-01
1003288804 Marta Rebeccah Liang Physician Assistant 1840 W Chandler Blvd Ste D2, Chandler, AZ 85224 2015-10-20
1730558644 Erica Marie Neal Physician Assistant 2181 E Pecos Rd Ste 1, Chandler, AZ 85225-6140 2015-09-21
1427454784 Nicole Hensey Physician Assistant 1940 N. Alma School Rd., Chandler, AZ 85224 2014-11-14
1861815250 Vanessa R. Olds Physician Assistant 1592 E Wildhorse Pl, Chandler, AZ 85286-1187 2014-01-21
1902056708 Robert H Stowers Physician Assistant 600 S Dobson Rd Ste 39, Chandler, AZ 85224-5677 2008-09-29
1508045600 Tyler S Dennison Physician Assistant 595 N Dobson Rd Ste D65, Chandler, AZ 85224-4234 2007-10-25
1588705214 David S Bone Physician Assistant 5000 W Chandler Blvd Bldg Ch-3, Chandler, AZ 85226-3601 2007-02-08
1689678567 Barbara Galutia Regis Physician Assistant 725 S Dobson Rd, Ste 103, Chandler, AZ 85224-5676 2005-06-09
1215543616 Alex Wamble Physician Assistant 70 N Mcclintock Dr, Chandler, AZ 85226-3711 2020-09-21
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Competitor

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City CHANDLER
Zip Code 85226

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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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