Individual
TARA D VUCHENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C MPAS
Contact information
Practice address
7250 CLEARVISTA DR STE 225, INDIANAPOLIS, IN 46256-5626
(317) 537-6088
(317) 537-6092
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005428
—
IN
Enumeration date
08/02/2010
Last updated
03/26/2021
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