Holley, Tara Ashley

Holley, Tara Ashley is an individual health care provider with primary practice located at 21990 Highway 62 , Shady Cove OR 97539-9717. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holley, Tara Ashley can be contacted via phone (541) 878-2022.

Contact Information

Primary practice address
21990 Highway 62 Shady Cove OR 97539-9717
Phone: (541) 878-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 50884 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 50884 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10009584 Oregon

Profile Details

NPI number 1013630797
LBN Legal business name Holley, Tara Ashley
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Aug 3rd, 2023 - about last year

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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