Individual
TARA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
000000
KY
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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