Individual
MS. TARRA ALYSSA OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
900 MAIN ST S STE 100, SOUTHBURY, CT 06488-4213
(860) 430-1246
Mailing address
900 MAIN ST S, SOUTHBURY, CT 06488-4237
(203) 262-1911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161350
CT
363LF0000X
Family Nurse Practitioner
Primary
13634
CT
Other
Enumeration date
08/10/2023
Last updated
08/19/2025
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