Individual
MRS. TARA LYNNE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1360 POSTCREEK RD, BATAVIA, OH 45103-2515
(513) 502-6964
Mailing address
1360 POSTCREEK RD, BATAVIA, OH 45103-2515
(513) 502-6964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.337297-COA1
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
COA.16613-NP
OH
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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