Individual
MRS. TARA BETH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8223 STATE ROAD 52, HUDSON, FL 34667-6730
(727) 835-6798
Mailing address
3108 S SCHILLER ST, TAMPA, FL 33629-6534
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11031965
FL
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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