Individual
TARA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8645 CONNECTICUT ST, MERRILLVILLE, IN 46410-6222
(219) 769-3500
Mailing address
1962 SUFFOLK RD, COLUMBUS, OH 43221-4247
(317) 750-4432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28263822A
IN
163W00000X
Registered Nurse
RN.458474
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0028059
OH
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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