Individual
TARA L PLUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE, R20, CLEVELAND, OH 44195-0001
(216) 445-2735
Mailing address
9500 EUCLID AVE, R20, CLEVELAND, OH 44195-0001
(216) 445-2735
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN278793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639916
—
OH
Enumeration date
04/17/2006
Last updated
01/04/2013
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