Individual
TARA WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CAPITOL ST STE 521, CHARLESTON, WV 25301-1748
(340) 207-0482
Mailing address
1435 BRIAN RD, CHARLESTON, SC 29407-5317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257958
SC
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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