Individual
TARA ROSE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6444 LOS ALTOS DR NE, ROCKFORD, MI 49341-8106
(616) 970-2888
Mailing address
6444 LOS ALTOS DR NE, ROCKFORD, MI 49341-8106
(616) 970-2888
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704257569
MI
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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