Individual
MS. TARA DIFABIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6461
(908) 788-6412
Mailing address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6461
(908) 788-6412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009696
PA
363LA2200X
Adult Health Nurse Practitioner
SP009696
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102878448
—
PA
Enumeration date
03/10/2009
Last updated
05/17/2019
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