MRS. TANA JEAN DESPAIN (NPI# 1811085095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811085095 |
| Entity Type | Individual |
| Full Name | MRS. TANA JEAN DESPAIN |
| Credential | RN |
| Practice Address |
22149 E Ocotillo Rd Queen Creek AZ 85242-7750 |
| Mailing Address |
1046 E Westbrooke Rd Queen Creek AZ 85242-7059 |
| Practice Telephone | 4809875966 |
| Practice Fax Number | 4808821276 |
| Mailing Telephone | 4809879257 |
| Mailing Fax Number | 4808821276 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN028151 | AZ | Nursing Service Providers |
| Street Address |
22149 E OCOTILLO RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-7750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073582755 | Amber Ann Miller | Specialist/Technologist | 22149 E Ocotillo Rd, Queen Creek, AZ 85242-7750 | 2006-03-16 |
| 1821695818 | Amy Lee Shipp | Specialist/Technologist | 22149 E Ocotillo Rd, Queen Creek, AZ 85142-7750 | 2020-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780125781 | Christine Bromley | Registered Nurse | 24901 S Power Rd, Queen Creek, AZ 85142-8428 | 2017-03-10 |
| 1801341086 | Suzette Hathcock | Registered Nurse | 2930 W Tanner Ranch Rd, Queen Creek, AZ 85142-4722 | 2016-08-17 |
| 1114275211 | Marylee Kennedy | Registered Nurse | 20863 E Saddle Way, Queen Creek, AZ 85142-6506 | 2012-08-21 |
| 1912152315 | Rebecca Wynn Sheridan | Registered Nurse | 301 E. Combs Rd, Queen Creek, AZ 85240 | 2008-11-26 |
| 1659420867 | Marla Dawn Santillana | Registered Nurse | 20837 E Pickett St, Queen Creek, AZ 85242-9531 | 2007-01-09 |
| 1992882385 | Sharee C Hamblin | Registered Nurse | 22122 E Country Shadows Rd, Queen Creek, AZ 85242-5443 | 2006-11-01 |
| 1225124183 | Lucinda L Nelson | Registered Nurse | 22076 Village Loop, Queen Creek, AZ 85242-6239 | 2006-10-05 |
| 1134619679 | Christie Lynn Brown | Registered Nurse | 23636 S 204th St, Queen Creek, AZ 85142-9677 | 2018-05-10 |
| 1407221906 | Theresa Gallagher | Registered Nurse | 20217 E Chandler Heights Rd, Queen Creek, AZ 85142-9521 | 2015-12-09 |
| 1073982468 | April Cole | Registered Nurse | 20217 E Chandler Heights Rd, Queen Creek, AZ 85142-9521 | 2015-09-16 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on MRS. TANA JEAN DESPAIN.
| 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.