Individual
TARA L WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3540 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-1408
(931) 237-8525
Mailing address
3540 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-1408
(931) 237-8525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024168256
VA
363LF0000X
Family Nurse Practitioner
1773
HI
363LF0000X
Family Nurse Practitioner
Primary
AP60966271
WA
363LF0000X
Family Nurse Practitioner
R191342
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669614855
—
VA
Enumeration date
04/02/2009
Last updated
09/09/2020
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