# TARA RAINEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235752536
- **Gender:** F
- **Credential:** DNP, APRN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 7307565-3102 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 7307565-4405 | UT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2020
- **Last updated:** 03/23/2022