Individual
TARA RAE ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NP
Contact information
Practice address
2100 EMMANUEL WAY, SUITE B, SPRINGFIELD, OH 45502-7217
(937) 398-0020
(937) 398-0021
Mailing address
2100 EMMANUEL WAY, STE B, SPRINGFIELD, OH 45502-7217
(937) 398-0020
(937) 398-0021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-09226
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.09226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2737953
—
OH
01
—
P00385789
RAILROAD PIN
OH
Enumeration date
02/17/2007
Last updated
10/28/2024
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