person
Tara A Weathers, NP
Family Nurse Practitioner in Providence, Rhode Island
NPI 1760660070

Tara A Weathers is a Family Nurse Practitioner based in Philadelphia, RI and is specialized in Family. Tara A Weathers practices in Providence, RI and has the professional credentials of NP. The NPI Number for Tara A Weathers is 1760660070 and holds a License No. 8686 (Rhode Island).

The current practice location address for Tara A Weathers is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-5175 and via fax at 401-444-8874.

Location: 593 Eddy St, Providence, RI, 19178-5377
person
Provider Profile Details
NPI Number
1760660070
Provider Name
Tara A Weathers
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI, 19178-5377
Phone Number
401-444-5175
Fax Number
401-444-8874
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0070601881 01 RI RI MEDICARE
939025129 01 RI RI MEDICARE UEMF GROUP PROVIDER
TW69699 05 RI
06/10/2008 01 RI BCBS
718882 05 MA
05/08/2008 01 RI NHPRI
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5175
Fax Number
401-444-8874
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-444-5175
Fax Number
401-444-8874
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
8686 (Connecticut)
Definition
Definition to come...
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