Pridgen, Tara C

Pridgen, Tara C is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pridgen, Tara C can be contacted via phone (256) 533-1970.

Contact Information

Primary practice address
4040 Memorial Pkwy Sw Huntsville AL 35802-4364
Phone: (256) 533-1970
Fax: (256) 705-6477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-098375 Alabama

Profile Details

NPI number 1053329805
LBN Legal business name Pridgen, Tara C
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 26th, 2015 - about 9 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 1053329805 NPPES
Alabama MEDICAID 330000014

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