Individual
TARA FERN FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C/CRNP
Contact information
Practice address
1421 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 284-3105
(334) 284-3107
Mailing address
1421 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 284-3105
(334) 284-3107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-105344
AL
363LF0000X
Family Nurse Practitioner
Primary
1-105344
AL
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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