Individual
TARA DAWN MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
100 W 3RD ST, COOKEVILLE, TN 38501-2495
(931) 528-9047
(931) 372-0045
Mailing address
100 W 3RD ST, COOKEVILLE, TN 38501-2495
(931) 528-9047
(931) 372-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000092120
TN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APN0000006681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3347201
—
TN
Enumeration date
11/28/2006
Last updated
02/28/2013
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