Provider Demographics
NPI:1144320227
Name:TATMAN, JANET ELAINE (PHD, PA-C)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:ELAINE
Last Name:TATMAN
Suffix:
Gender:F
Credentials:PHD, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 N HAYDEN RD
Mailing Address - Street 2:SUITE J-112
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2467
Mailing Address - Country:US
Mailing Address - Phone:480-905-8755
Mailing Address - Fax:480-905-8851
Practice Address - Street 1:8160 N HAYDEN RD
Practice Address - Street 2:SUITE J-112
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2467
Practice Address - Country:US
Practice Address - Phone:480-905-8755
Practice Address - Fax:480-905-8851
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1946363AM0700X
AZ3052103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZPHD3052BMedicare PIN
AZR10401Medicare UPIN
AZZPA1946Medicare PIN