Tara A Weathers in Providence - Family

Tara A Weathers - NPI 1760660070

Tara A Weathers is a Family in Providence, Rhode Island. Tara A Weathers practices all healthcare services and medical treatments related to Family. The NPI Number for Tara A Weathers is 1760660070. The last update date is 2020-02-11.

Tara A Weathers's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4014445175 and fax number 4014448874. The mailing address for Tara A Weathers is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara A Weathers
Address 593 Eddy St, Providence, Rhode Island
Phone Number 4014445175
Fax Number 4014448874
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1760660070
Provider Enumeration Date 2008-02-08
Last Updated Date 2020-02-11

Provider Mailing Address Detail

Address 593 Eddy St
City Providence
State Rhode Island (RI)
Post Code 29034923
Phone Number 4014445175
Fax Number 4014448874

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 8686
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70601881 RI RI MEDICARE
939025129 RI RI MEDICARE UEMF GROUP PROVIDE
TW69699 RI --
2008-06-10 00:0 RI BCBS
718882 MA --
2008-05-08 00:0 RI NHPRI

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FAQs about Tara A Weathers

What is the Tara A Weathers's unique identification number?

The Tara A Weathers has been assigned the NPI (National Provider Identifier) Number 1760660070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Tara A Weathers is geographically located?

The Tara A Weathers is physically situated at the following location: 593 Eddy St, Providence, RI, 29034923.

What is the Tara A Weathers's specialty and taxonomy code?

The Tara A Weathers's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

When did Tara A Weathers receive its 1760660070 assignment?

The Tara A Weathers was assigned its 1760660070 on 2008-02-08, which is the date when this unique identifier was issued to the organization.

When was the Tara A Weathers's information last updated?

The Tara A Weathers's information was last updated on 2020-02-11.

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