Individual
TARA MOMPLAISIR
Active
Individual
TARA MOMPLAISIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R152905
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R152905
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409460300
—
MD
01
—
R152905
NURSE PRACTITIONER
MD
Enumeration date
05/11/2006
Last updated
08/15/2024
Update your record
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