Barrack, Tara

Barrack, Tara is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Barrack, Tara can be contacted via phone (952) 993-1440.

Contact Information

Primary practice address
9555 Upland Ln N Maple Grove MN 55369-4485
Phone: (952) 993-1440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11382 Minnesota

Profile Details

NPI number 1104266865
LBN Legal business name Barrack, Tara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Apr 14th, 2020 - 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.

Request for update

Popular Providers