West, Tara L
West, Tara L is an individual health care provider with primary practice located at 3540 Olympic Blvd W , University Place WA 98466-1408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. West, Tara L can be contacted via phone (931) 237-8525.Contact Information
Primary practice address
3540 Olympic Blvd W
University Place WA 98466-1408
Phone: (931) 237-8525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1773 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R191342 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024168256 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60966271 | Washington |
Profile Details
| NPI number | 1669614855 |
|---|---|
| LBN Legal business name | West, Tara L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2009 |
| Last updated | Sep 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669614855 | NPPES |
| Virginia | MEDICAID | 1669614855 |
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