Individual
MRS. TARA RAQUEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN
Contact information
Practice address
914 COUNTRY CLUB RD, ARGYLE, TX 76226-2503
(866) 625-2279
Mailing address
914 COUNTRY CLUB RD, ARGYLE, TX 76226-2503
(940) 464-7222
(940) 464-7220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1018810
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1018810
TX
Other
Enumeration date
06/21/2020
Last updated
04/07/2022
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