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Ms. Tara Lynn Favis, NP-C
Family Nurse Practitioner in Sacramento, California
NPI 1013279132

Tara Lynn Favis is a Family Nurse Practitioner based in Sacramento, CA and is specialized in Family. Tara Lynn Favis practices in Sacramento, CA and has the professional credentials of NP-C. The NPI Number for Tara Lynn Favis is 1013279132 and holds a License No. 95013467 (California).

The current practice location address for Tara Lynn Favis is 77 Cadillac Dr Ste 200, Sacramento, CA and can be reached out via phone at 916-454-2345.

Location: 77 Cadillac Dr Ste 200, Sacramento, CA, 95825-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013279132
Provider Name
Tara Lynn Favis
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
77 Cadillac Dr Ste 200, Sacramento, CA, 95825-1098
Phone Number
916-454-2345
Fax Number
Provider Enumeration Date
06/14/2012
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
77 Cadillac Dr Ste 200
City
Sacramento
State
California
Zip
95825-8337
Phone Number
916-454-2345
Fax Number
person
Provider Business Mailing Address Details
Address
77 Cadillac Dr Ste 200
City
Sacramento
State
California
Zip
95825-8337
Phone Number
916-454-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95013467 (California)
Definition
Definition to come...
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