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Tara Leigh Simon, RN,BSN,CCRN
Critical Care Medicine Registered Nurse in Petoskey, Michigan
NPI 1649991126

Tara Leigh Simon is a Critical Care Medicine Registered Nurse based in Petoskey, MI and is specialized in Critical Care Medicine. Tara Leigh Simon practices in Petoskey, MI and has the professional credentials of RN,BSN,CCRN. The NPI Number for Tara Leigh Simon is 1649991126 and holds a License No. 4704326900 (Michigan).

The current practice location address for Tara Leigh Simon is 1028 Emmet St Apt B, Petoskey, MI and can be reached out via phone at 231-881-2361.

Location: 1028 Emmet St Apt B, Petoskey, MI, 49770-2930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649991126
Provider Name
Tara Leigh Simon
Credential
RN,BSN,CCRN
Provider Entity Type
Individual
Gender
Female
Address
1028 Emmet St Apt B, Petoskey, MI, 49770-2930
Phone Number
231-881-2361
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1028 Emmet St Apt B
City
Petoskey
State
Michigan
Zip
49770-2930
Phone Number
231-881-2361
Fax Number
person
Provider Business Mailing Address Details
Address
1028 Emmet St Apt B
City
Petoskey
State
Michigan
Zip
49770-2930
Phone Number
231-881-2361
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
4704326900 (Michigan)
Definition
Definition to come...
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