person
Ms. Tara Lyrae Swan, APN
Family Nurse Practitioner in Carrollton, Missouri
NPI 1982773586

Tara Lyrae Swan is a Family Nurse Practitioner based in Carrollton, MO and is specialized in Family. Tara Lyrae Swan practices in Carrollton, MO and has the professional credentials of APN. The NPI Number for Tara Lyrae Swan is 1982773586 and holds a License No. 2000162265 (Missouri).

The current practice location address for Tara Lyrae Swan is 1502 N Jefferson St, Carrollton, MO and can be reached out via phone at 660-542-9998 and via fax at 660-542-9880.

Location: 1502 N Jefferson St, Carrollton, MO, 64633-1948
person
Provider Profile Details
NPI Number
1982773586
Provider Name
Tara Lyrae Swan
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1502 N Jefferson St, Carrollton, MO, 64633-1948
Phone Number
660-542-9998
Fax Number
660-542-9880
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
424585909 05 MO
institution
Provider Business Practice Location Address Details
Address
1502 N Jefferson St
City
State
Zip
64633-1948
Phone Number
660-542-9998
Fax Number
660-542-9880
person
Provider Business Mailing Address Details
Address
1502 N Jefferson St
City
State
Zip
64633-1948
Phone Number
660-542-9998
Fax Number
660-542-9880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2000162265 (Missouri)
Definition
Definition to come...
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