Individual
TARA A PARHAM GARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-7355
Mailing address
3400 SPRUCE ST, 9 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-2182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN553971
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010382
PA
Other
Enumeration date
09/25/2009
Last updated
11/17/2023
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