Little, Tara Janae

Little, Tara Janae is an individual health care provider with primary practice located at 1205 Provident Dr Ste A , Warsaw IN 46580-3265. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Little, Tara Janae can be contacted via phone (574) 269-8383.

Contact Information

Primary practice address
1205 Provident Dr Ste A Warsaw IN 46580-3265
Phone: (574) 269-8383
Fax: (260) 479-2911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004739A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004739A Indiana

Profile Details

NPI number 1033555966
LBN Legal business name Little, Tara Janae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2013
Last updated Oct 5th, 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 1033555966 NPPES
Indiana MEDICAID 201213790

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