Individual
PAGE J TARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17763 HIGHWAY 167, DRY PRONG, LA 71423-9205
(318) 899-5276
(318) 899-5932
Mailing address
17763 HIGHWAY 167, DRY PRONG, LA 71423-9205
(318) 899-5276
(318) 899-5932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218050
LA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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