Individual
DANIELLE TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6250
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
122116
WV
Other
Enumeration date
02/01/2024
Last updated
03/25/2025
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