Individual
TARA L SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3135 W BROADWAY, COUNCIL BLUFFS, IA 51501
(712) 328-9100
(712) 328-0095
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111084
NE
363L00000X
Nurse Practitioner
Primary
A123906
IA
Other
Enumeration date
12/30/2009
Last updated
11/06/2018
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