Individual
TARA MARIE STARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
130 PINE GROVE CMNS, YORK, PA 17403-5151
(717) 851-5736
(717) 715-1298
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-5736
(717) 715-1298
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016855
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103234795
—
PA
Enumeration date
12/15/2016
Last updated
10/10/2022
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