Individual
TARA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
Mailing address
4917 SANDSTONE DR, FORT COLLINS, CO 80526-4561
(970) 219-0389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67589
NM
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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