Individual
TARA ANNE CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(984) 243-2962
Mailing address
7004 BARTONS GROVE PL, RALEIGH, NC 27614-7259
(917) 747-7545
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
5009027
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
F340505
NY
Other
Enumeration date
10/20/2006
Last updated
01/22/2026
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