Dalles, Tara Nicole

Dalles, Tara Nicole is an sole proprietor health care provider with primary practice located at 366 Needles Trl , Longwood FL 32779-4655. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Dalles, Tara Nicole can be contacted via phone (321) 239-2389.

Contact Information

Primary practice address
366 Needles Trl Longwood FL 32779-4655
Phone: (321) 239-2389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1275007775
LBN Legal business name Dalles, Tara Nicole
Credentials CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2019
Last updated Jan 17th, 2019 - about 6 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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