Individual
MRS. TARA E SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11803 JEFFERSON AVE STE 230, NEWPORT NEWS, VA 23606-4390
(757) 534-7701
(757) 534-7708
Mailing address
4374 NEW TOWN AVE, WILLIAMSBURG, VA 23188-2865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007328
VA
363A00000X
Physician Assistant
10002506A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027406
—
IN
Enumeration date
08/28/2018
Last updated
03/26/2025
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