Individual
TARA LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 710, BEECH GROVE, IN 46107-0710
(317) 893-1880
(317) 893-1881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201404500
—
IN
Enumeration date
02/15/2008
Last updated
09/19/2022
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