Individual
TARA SHANTI KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
(619) 398-0350
Mailing address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
(619) 398-0350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017314
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
400990
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015265
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60794626
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0995403-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618162
EMPLOYER MEDICAID NUMBER
NY
01
—
39062A
EMPLOYER MEDICARE NUMBER
NY
05
—
911020106
—
WA
Enumeration date
11/27/2007
Last updated
02/23/2022
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