Provider Demographics
NPI:1922487461
Name:TRIVISON KURLAND, TASIA (DNP)
Entity type:Individual
Prefix:DR
First Name:TASIA
Middle Name:
Last Name:TRIVISON KURLAND
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9495 E SAN SALVADOR DR STE 500
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5539
Mailing Address - Country:US
Mailing Address - Phone:480-370-8789
Mailing Address - Fax:
Practice Address - Street 1:9495 E SAN SALVADOR DR STE 500
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5539
Practice Address - Country:US
Practice Address - Phone:480-370-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7847363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner