Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Tamara Sue Rivenburgh-Casillas, FNP

Individual provider Family Nurse Practitioner · NPI 1134102965

MS. Tamara Sue Rivenburgh-Casillas, FNP is a Nurse Practitioner in Chandler, Arizona. Qualified in 1996, 30 years ago. Practices with East Valley Dermatology Center, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
30
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1100 S Dobson Rd #223
Chandler, AZ 85286
Phone: (480) 821-8888
Fax: (480) 821-0888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP0528 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP0528 (AZ)

Record details

NPI number1134102965
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESSeptember 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice East Valley Dermatology Center — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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