Irvin, Tara

Irvin, Tara is an individual health care provider with primary practice located at 12 St Paul Dr Ste 210 , Chambersburg PA 17201-1035. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Irvin, Tara can be contacted via phone (717) 217-6820.

Contact Information

Primary practice address
12 St Paul Dr Ste 210 Chambersburg PA 17201-1035
Phone: (717) 217-6820
Fax: (717) 217-6942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP014167 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP014167 Pennsylvania

Profile Details

NPI number 1154728442
LBN Legal business name Irvin, Tara
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2014
Last updated Jun 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154728442 NPPES
Pennsylvania MEDICAID 102995936

Popular Providers