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Tara Sue Vangundy, CFNP
Family Nurse Practitioner in Centerville, Ohio
NPI 1295080851

Tara Sue Vangundy is a Family Nurse Practitioner based in Centerville, OH and is specialized in Family. Tara Sue Vangundy practices in Centerville, OH and has the professional credentials of CFNP. The NPI Number for Tara Sue Vangundy is 1295080851 and holds a License No. COA13396 (Ohio).

The current practice location address for Tara Sue Vangundy is 7073 Clyo Rd, Centerville, OH and can be reached out via phone at 937-435-5857 and via fax at 937-912-4960.

Location: 7073 Clyo Rd, Centerville, OH, 45459-4816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295080851
Provider Name
Tara Sue Vangundy
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
7073 Clyo Rd, Centerville, OH, 45459-4816
Phone Number
937-435-5857
Fax Number
937-912-4960
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0068897 05 OH
institution
Provider Business Practice Location Address Details
Address
7073 Clyo Rd
City
Centerville
State
Ohio
Zip
45459-4816
Phone Number
937-435-5857
Fax Number
937-912-4960
person
Provider Business Mailing Address Details
Address
7073 Clyo Rd
City
Centerville
State
Ohio
Zip
45459-4816
Phone Number
937-435-5857
Fax Number
937-912-4960
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA13396 (Ohio)
Definition
Definition to come...
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