Smith, Tara

Smith, Tara is an individual health care provider with primary practice located at 8233 Old Courthouse Rd Ste 170 , Vienna VA 22182-3833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Tara can be contacted via phone (703) 556-9318.

Contact Information

Primary practice address
8233 Old Courthouse Rd Ste 170 Vienna VA 22182-3833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110005062 Virginia

Profile Details

NPI number 1962861096
LBN Legal business name Smith, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2016
Last updated Feb 17th, 2016 - 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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