Individual
TARA MORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4313
(727) 767-4391
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(800) 988-2273
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
108858
WV
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN11013767
FL
Other
Enumeration date
04/14/2021
Last updated
10/25/2021
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