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Individual

MRS. TARA LYNN WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP

Contact information

Practice address
2300 ERWIN RD, DURHAM, NC 27707
(919) 668-2657
(919) 668-1180
Mailing address
2300 ERWIN RD, DURHAM, NC 27707
(919) 613-6887
(919) 668-1180

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004490
NC

Other

Enumeration date
07/29/2016
Last updated
07/29/2016
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