Provider Demographics
NPI:1528780954
Name:EVERETT, TARYNN FRANCIS (PA-C)
Entity type:Individual
Prefix:
First Name:TARYNN
Middle Name:FRANCIS
Last Name:EVERETT
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8519 E BERRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-5804
Mailing Address - Country:US
Mailing Address - Phone:480-577-3410
Mailing Address - Fax:
Practice Address - Street 1:2945 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-7941
Practice Address - Country:US
Practice Address - Phone:480-969-4138
Practice Address - Fax:480-969-0630
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ9136363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant