Individual
TARA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
PO BOX 435, AULT, CO 80610-0435
(210) 875-7098
Mailing address
PO BOX 435, AULT, CO 80610-0435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1001716-NP
CO
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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