Individual
TARA WILLIAMS-MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20886 RIVERSIDE DR, GRUNDY, VA 24614-9597
(276) 935-7515
(276) 935-4351
Mailing address
PO BOX 1030, GRUNDY, VA 24614-1030
(276) 935-7515
(276) 935-4351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001137566
VA
363L00000X
Nurse Practitioner
5876P
KY
Other
Enumeration date
12/03/2008
Last updated
01/21/2025
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