Shafer, Tara Lynn

Shafer, Tara Lynn is an individual health care provider with primary practice located at 1350 W 6Th St Ste 200 , San Pedro CA 90732-3508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shafer, Tara Lynn can be contacted via phone (310) 832-0686.

Contact Information

Primary practice address
1350 W 6Th St Ste 200 San Pedro CA 90732-3508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95015152 California

Profile Details

NPI number 1053922641
LBN Legal business name Shafer, Tara Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2020
Last updated Aug 16th, 2020 - about 5 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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