Preston, Tara S

Preston, Tara S is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5777. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Preston, Tara S can be contacted via phone (715) 221-7822.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5777
Phone: (715) 221-7822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 124314 Wisconsin

Profile Details

NPI number 1154431229
LBN Legal business name Preston, Tara S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 27th, 2023 - about 2 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 1154431229 NPPES
Wisconsin MEDICAID 41185100

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