Antonucci, Tara

Antonucci, Tara is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Antonucci, Tara can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (800) 926-8273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95021759 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95021759 California

Profile Details

NPI number 1598476038
LBN Legal business name Antonucci, Tara
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2022
Last updated Apr 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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