Evans, Tara Marie

Evans, Tara Marie is an sole proprietor health care provider with primary practice located at 736 Sw Washington St Ste 2A , Peoria IL 61602-1643. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, Nursing Service Providers / Orthopedic. Physician Assistants & Advanced Practice Nursing Providers / Occupational Health is her primary health care specialty. Evans, Tara Marie can be contacted via phone (309) 497-0300.

Contact Information

Primary practice address
736 Sw Washington St Ste 2A Peoria IL 61602-1643
Phone: (309) 497-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 209.027825 Illinois
Nursing Service Providers / Orthopedic 163WX0800X 041416169 Illinois

Profile Details

NPI number 1518645613
LBN Legal business name Evans, Tara Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2023
Last updated Jul 10th, 2023 - about 2 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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