Flannery, Tara L

Flannery, Tara L is an individual health care provider with primary practice located at 2808 Old Post Road , Harrisburg PA 17110-3685. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Flannery, Tara L can be contacted via phone (717) 920-4400.

Contact Information

Primary practice address
2808 Old Post Road Harrisburg PA 17110-3685
Phone: (717) 920-4400
Fax: (717) 920-4553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010120 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP010120 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010120 Pennsylvania

Profile Details

NPI number 1811134802
LBN Legal business name Flannery, Tara L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2009
Last updated Dec 19th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811134802 NPPES
Pennsylvania MEDICAID 103111703

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