Individual
TARA DAWN SANDERS
Active
Individual
TARA DAWN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
17223
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
220241
OK
363LA2100X
Acute Care Nurse Practitioner
AP121258
TX
Other
Enumeration date
03/30/2010
Last updated
12/20/2024
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