Individual
TARA I MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
240 S MAIN ST STE A, WOLFEBORO, NH 03894-4455
(603) 569-7574
(603) 569-7582
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
054907-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100493
—
NH
Enumeration date
02/11/2015
Last updated
03/19/2025
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