Individual
TARA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
16359 SUSSEX HWY, BRIDGEVILLE, DE 19933-2966
(302) 337-7990
Mailing address
16359 SUSSEX HWY, BRIDGEVILLE, DE 19933-2966
(302) 337-7990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0044896
DE
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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