Individual
TARA A WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-8990
Mailing address
PO BOX 785377, PHILADELPHIA, PA 19178-5377
(203) 688-6743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8686
CT
363LF0000X
Family Nurse Practitioner
Primary
APRN00110
RI
363LF0000X
Family Nurse Practitioner
NPP37450
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070601881
RI MEDICARE
RI
01
—
05/08/2008
NHPRI
RI
01
—
06/10/2008
BCBS
RI
05
—
718882
—
MA
01
—
939025129
RI MEDICARE UEMF GROUP PROVIDER
RI
05
—
TW69699
—
RI
Enumeration date
02/08/2008
Last updated
04/20/2026
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