Martin, Tara Lynn

Martin, Tara Lynn is an individual health care provider with primary practice located at 133 Spinder Dr , East Peoria IL 61611-0016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martin, Tara Lynn can be contacted via phone (219) 545-2255.

Contact Information

Primary practice address
133 Spinder Dr East Peoria IL 61611-0016
Phone: (219) 545-2255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209022764 Illinois

Profile Details

NPI number 1841946613
LBN Legal business name Martin, Tara Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2022
Last updated Mar 1st, 2022 - about 2 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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