Individual
TARA R HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23204 S 2900 RD, MILO, MO 64767-7606
(417) 296-4469
Mailing address
23204 S 2900 RD, MILO, MO 64767-7606
(417) 296-4469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2025000817
MO
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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