Forrest, Tara A

Forrest, Tara A is an individual health care provider with primary practice located at 1385 Lakeview Ave , Dracut MA 01826-3414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Forrest, Tara A can be contacted via phone (978) 957-6675.

Contact Information

Primary practice address
1385 Lakeview Ave Dracut MA 01826-3414
Phone: (978) 957-6675
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 260372 Massachusetts

Profile Details

NPI number 1922086701
LBN Legal business name Forrest, Tara A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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