Individual
TARA S BANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 363-9071
(717) 363-9070
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(717) 363-9071
(717) 363-9070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010958
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031592240001
—
PA
Enumeration date
08/31/2010
Last updated
05/15/2026
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