Individual
TARA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28170 OLD VILLAGE RD, STE 102, MECHANICSVILLE, MD 20659-4211
(240) 249-6073
(240) 249-6075
Mailing address
28170 OLD VILLAGE RD, STE 102, MECHANICSVILLE, MD 20659-4211
(240) 249-6073
(240) 248-6075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R153236
MD
Other
Enumeration date
01/31/2014
Last updated
12/07/2021
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