Individual
TARA A. ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 VALLEY DR STE 200, GREENWICH, CT 06831
(203) 863-4210
(203) 622-1872
Mailing address
15 VALLEY DR STE 200, GREENWICH, CT 06831-5205
(203) 863-4210
(203) 622-1872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7621
CT
Other
Enumeration date
07/03/2018
Last updated
02/04/2019
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