Individual
MRS. TARA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5 E 98TH ST, THE MOUNT SINAI MEDICAL CENTER, NEW YORK, NY 10029-6501
(212) 381-0918
Mailing address
PO BOX 1166, THE MOUNT SINAI MEDICAL CENTER, NEW YORK, NY 10029-0312
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430328-1
NY
Other
Enumeration date
05/18/2007
Last updated
08/20/2013
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