Individual
TARA STACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, AGPCNP-BC
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
912
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95018529
CA
Other
Enumeration date
07/24/2013
Last updated
03/19/2024
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