Monette, Tara
Monette, Tara is an individual health care provider with primary practice located at 765 Image Way , Orange City FL 32763-8399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Monette, Tara can be contacted via phone (386) 774-7411.Contact Information
Primary practice address
765 Image Way
Orange City FL 32763-8399
Phone: (386) 774-7411
Fax: (386) 774-7412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9179359 | Florida |
Profile Details
| NPI number | 1598935595 |
|---|---|
| LBN Legal business name | Monette, Tara |
| Credentials | ARNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Mar 6th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598935595 | NPPES |
| Florida | MEDICAID | 000643700 |
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