Individual
TARA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
340 EXEMPLA CIR, LAFAYETTE, CO 80026-3384
(303) 673-1944
Mailing address
1720 JUDSON DR, LONGMONT, CO 80501-2557
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
1631027
CO
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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