Baney, Tara S

Baney, Tara S is an individual health care provider with primary practice located at 32 Colonnade Way , State College PA 16803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Baney, Tara S can be contacted via phone (814) 272-4445.

Contact Information

Primary practice address
32 Colonnade Way State College PA 16803
Phone: (814) 272-4445
Fax: (814) 272-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010958 Pennsylvania

Profile Details

NPI number 1679889471
LBN Legal business name Baney, Tara S
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Jul 5th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679889471 NPPES
Pennsylvania MEDICAID 1031592240001

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