Individual
TARA MARIE AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
32882 INTERSTATE 10 W STE 204, BOERNE, TX 78006-9292
(210) 981-3358
(210) 942-2674
Mailing address
32882 INTERSTATE 10 W STE 204, BOERNE, TX 78006-9292
(210) 981-3358
(210) 942-2674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
742405
TX
363LF0000X
Family Nurse Practitioner
AP126530
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126530
TX
Other
Enumeration date
09/16/2014
Last updated
08/14/2024
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