Individual
MRS. TARA LYNN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 MICHIGAN ST NE, SUITE 3100, GRAND RAPIDS, MI 49503-2562
(616) 954-9800
(616) 954-2116
Mailing address
5800 FOREMOST DR SE STE 300, GRAND RAPIDS, MI 49546-7062
(616) 954-9800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704213362
MI
Other
Enumeration date
11/18/2010
Last updated
03/13/2020
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