Individual
TARA C. BROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304-4451
(910) 504-3506
(910) 504-3507
Mailing address
764 WALNUT KNOLL LN, CORDOVA, TN 38018-3113
(901) 756-5565
(901) 756-5564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
328252
NC
Other
Enumeration date
04/20/2026
Last updated
05/06/2026
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