Individual
MRS. TARA ANN BUSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2010 W CHESTER PIKE STE 350, HAVERTOWN, PA 19083-2738
(610) 853-1112
(610) 446-1425
Mailing address
2010 W CHESTER PIKE STE 350, HAVERTOWN, PA 19083-2738
(610) 853-1112
(610) 446-1425
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
UP006453G
PA
Other
Enumeration date
10/28/2005
Last updated
07/30/2021
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