Masters, Tara Dawn

Masters, Tara Dawn is an individual health care provider with primary practice located at 100 W 3Rd St , Cookeville TN 38501-2495. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Masters, Tara Dawn can be contacted via phone (931) 528-9047.

Contact Information

Primary practice address
100 W 3Rd St Cookeville TN 38501-2495
Phone: (931) 528-9047
Fax: (931) 372-0045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APN0000006681 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN0000092120 Tennessee

Profile Details

NPI number 1457427577
LBN Legal business name Masters, Tara Dawn
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Feb 28th, 2013 - about 11 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 1457427577 NPPES
Tennessee MEDICAID 3347201

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