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Individual

KARRIE A TARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3774 BAYLEY DR, SUITE B, LAFAYETTE, IN 47905-8651
(765) 807-8180
(765) 807-8181
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209008886
IL
363L00000X
Nurse Practitioner
Primary
71003917A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201049060
IN
Enumeration date
08/01/2011
Last updated
03/23/2021
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