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Individual

MRS. TARA NICOLE MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1123 NE SAINT IVES RD, BENTONVILLE, AR 72712-8448
(479) 903-5800
Mailing address
1123 NE SAINT IVES RD, BENTONVILLE, AR 72712-8448
(479) 903-5800

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R087530
AR

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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