Individual
MRS. TARA MCCLANAHAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
141 HIGHWAY 402, NAPOLEONVILLE, LA 70390-2217
(985) 369-6027
(985) 369-7656
Mailing address
141 HIGHWAY 402, NAPOLEONVILLE, LA 70390-2217
(985) 369-6027
(985) 369-7656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220766
LA
Other
Enumeration date
06/28/2021
Last updated
09/28/2022
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