Individual
TARA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2700 UNIVERSITY AVE STE 308, WEST DES MOINES, IA 50266-1470
(515) 519-2812
Mailing address
2700 UNIVERSITY AVE STE 308, WEST DES MOINES, IA 50266-1470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A108451
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A108451
IA
Other
Enumeration date
01/17/2018
Last updated
10/15/2024
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