Individual
TARYN ELIZABETH TROSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 390-2014
Mailing address
1716 W 40TH ST, KEARNEY, NE 68845-8208
(308) 390-2014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2206
NE
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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