Individual
TARA R. APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
90 CIC BLVD, WEST UNION, OH 45693-8024
(934) 544-8989
(937) 544-5659
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010178
MEDICAL LICENSE
KY
05
—
7100393910
—
KY
Enumeration date
03/15/2016
Last updated
12/16/2020
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