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Tara Laine Mainieri, NURSEPRACTITIONER
Family Nurse Practitioner in Kingston, New York
NPI 1417443433

Tara Laine Mainieri is a Family Nurse Practitioner based in Kingston, NY and is specialized in Family. Tara Laine Mainieri practices in Kingston, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Tara Laine Mainieri is 1417443433 and holds a License No. 343244 (New York).

The current practice location address for Tara Laine Mainieri is 105 Marys Ave, Kingston, NY and can be reached out via phone at 845-338-2500 and via fax at 845-802-7362.

Location: 105 Marys Ave, Kingston, NY, 12401-4626
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Provider Profile Details
NPI Number
1417443433
Provider Name
Tara Laine Mainieri
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
105 Marys Ave, Kingston, NY, 12401-4626
Phone Number
845-338-2500
Fax Number
845-802-7362
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05351693 05 NY
institution
Provider Business Practice Location Address Details
Address
105 Marys Ave
City
State
Zip
12401-5848
Phone Number
845-338-2500
Fax Number
845-802-7362
person
Provider Business Mailing Address Details
Address
105 Marys Ave
City
State
Zip
12401-5848
Phone Number
845-338-2500
Fax Number
845-802-7362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
343244 (New York)
Definition
Definition to come...
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