Individual
TARA-KAYE CLUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 527-3782
Mailing address
832 NW 130TH AVE, PEMBROKE PINES, FL 33028-3135
(954) 292-7574
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11010290
FL
363LA2200X
Adult Health Nurse Practitioner
11010290
FL
Other
Enumeration date
11/06/2020
Last updated
01/04/2023
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