Individual
TARA L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9 HEALTHCARE DR STE 204, BIDDEFORD, ME 04005-9450
(207) 284-2630
(207) 294-3566
Mailing address
61 WATSON RD, NORWAY, ME 04268-4426
(207) 807-8773
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN56106
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP131046
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP131046
LICENSE
ME
Enumeration date
06/25/2013
Last updated
02/23/2026
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