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Individual

TARA KATHLEEN HAYES CONSTANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
8720 14TH AVE S, SEATTLE, WA 98108-4807
(206) 762-3730
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60672984
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60791418
WA

Other

Enumeration date
10/03/2017
Last updated
11/07/2017
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