Dea, Tara Lynn

Dea, Tara Lynn is an individual health care provider with primary practice located at 34Th St & Civic Center Blvd Department Of Endocrinology, Philadelphia PA 19104-4399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dea, Tara Lynn can be contacted via phone (215) 590-3174.

Contact Information

Primary practice address
34Th St & Civic Center Blvd Department Of Endocrinology Philadelphia PA 19104-4399
Phone: (215) 590-3174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP009251 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ00306100 New Jersey

Profile Details

NPI number 1326114281
LBN Legal business name Dea, Tara Lynn
Credentials MSN, CRNP, PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Dec 16th, 2014 - about 11 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