Individual
TARA R ARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRC
Contact information
Practice address
7091 W EMERALD ST, BOISE, ID 83704-8618
(208) 379-0783
Mailing address
219 21ST AVE S, NAMPA, ID 83651-4408
(208) 585-8041
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
13079
ID
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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