Individual
TARA OLIVO-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
254B MOUNTAIN AVE STE 304, HACKETTSTOWN, NJ 07840-2413
(908) 852-6400
(908) 852-6450
Mailing address
254B MOUNTAIN AVE STE 304, HACKETTSTOWN, NJ 07840-2413
(908) 852-6400
(908) 852-6450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00775500
NJ
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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