Individual
MRS. TARA D STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
210 SHARON RD STE D, CIRCLEVILLE, OH 43113-1498
(740) 420-8422
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
022764
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.022764
OH
Other
Enumeration date
05/27/2018
Last updated
06/14/2023
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