Pettus, Tara Sekle

Pettus, Tara Sekle is an individual health care provider with primary practice located at 4301 X St , Sacramento CA 95817-2214. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Pettus, Tara Sekle can be contacted via phone (916) 734-5028.

Contact Information

Primary practice address
4301 X St Sacramento CA 95817-2214
Phone: (916) 734-5028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 95203093 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95002263 California

Profile Details

NPI number 1588337232
LBN Legal business name Pettus, Tara Sekle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2021
Last updated Jan 16th, 2024 - about 8 months 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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