Strickland, Tara Marie

Strickland, Tara Marie is an individual health care provider with primary practice located at 146 Medical Park Rd 108 , Mooresville NC 28117-8529. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, 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. Strickland, Tara Marie can be contacted via phone (704) 662-0877.

Contact Information

Primary practice address
146 Medical Park Rd 108 Mooresville NC 28117-8529
Fax: (704) 662-0875
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 158606 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 078254 North Carolina

Profile Details

NPI number 1184809451
LBN Legal business name Strickland, Tara Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Jul 16th, 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 1184809451 NPPES
North Carolina MEDICAID 8053115

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