Edwards, Tara L

Edwards, Tara L is an sole proprietor health care provider with primary practice located at 474 N Yellow Springs St , Springfield OH 45504-2463. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Edwards, Tara L can be contacted via phone (937) 399-9500.

Contact Information

Primary practice address
474 N Yellow Springs St Springfield OH 45504-2463
Phone: (937) 399-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.369924 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.026062 Ohio

Profile Details

NPI number 1427527290
LBN Legal business name Edwards, Tara L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2018
Last updated Dec 10th, 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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