Individual
MRS. TARA RENAY ALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1301 CENTRAL DR, SANFORD, NC 27330-4159
(919) 718-9512
(919) 718-9516
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012205
NC
363LA2200X
Adult Health Nurse Practitioner
COA.11877-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056207
—
OH
Enumeration date
10/29/2010
Last updated
09/28/2022
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