Individual
TARA RENEE EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3739
(914) 919-9200
Mailing address
8900 HEARTWOOD DR, FORT WORTH, TX 76244-4913
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1043910
TX
Other
Enumeration date
05/11/2021
Last updated
10/31/2025
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