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Individual

TARA A WEATHERS

Active
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Individual

TARA A WEATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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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