Nysoe, Tara E

Nysoe, Tara E is an individual health care provider with primary practice located at 1331 Colby Ave , Everett WA 98201. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Nysoe, Tara E can be contacted via phone (425) 261-2000.

Contact Information

Primary practice address
1331 Colby Ave Everett WA 98201
Phone: (425) 261-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00045794 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD00045794 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00045794 Washington

Profile Details

NPI number 1679597058
LBN Legal business name Nysoe, Tara E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 30th, 2021 - about 3 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 1679597058 NPPES
Washington Other MD45794 LICENSE

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