Individual
DESIREE EVON TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
201 ROOSEVELT AVE, SELINSGROVE, PA 17870-7969
(570) 374-0151
(570) 374-0311
Mailing address
517 N HIGH ST, SELINSGROVE, PA 17870-1651
(570) 847-3471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020067
PA
363LF0000X
Family Nurse Practitioner
SP020067
PA
Other
Enumeration date
02/27/2019
Last updated
08/28/2020
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