Nelson, Tara Michele

Nelson, Tara Michele is an individual health care provider with primary practice located at 331 Sijen Ave , Whiteman Air Force Base MO 65305-1269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nelson, Tara Michele can be contacted via phone (660) 687-2188.

Contact Information

Primary practice address
331 Sijen Ave Whiteman Air Force Base MO 65305-1269
Phone: (660) 687-2188
Fax: (660) 687-2106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PYA113653 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00527 Kansas

Profile Details

NPI number 1528052750
LBN Legal business name Nelson, Tara Michele
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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

Popular Providers