Barrentine, Tara Susan

Barrentine, Tara Susan is an individual health care provider with primary practice located at 22230 133Rd St E , Bonney Lake WA 98391-7574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Barrentine, Tara Susan can be contacted via phone (919) 345-0677.

Contact Information

Primary practice address
22230 133Rd St E Bonney Lake WA 98391-7574
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61524402 Washington

Profile Details

NPI number 1598528762
LBN Legal business name Barrentine, Tara Susan
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - about 11 months 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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