National Provider Identifier

Tara Michelle Carr, LPN

Tara Michelle Carr, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Chili, NY and a listed phone number of (315) 879-1756.

NPI 1548997752North Chili, NYLicensed Practical Nurse

Profile Overview

NPI
1548997752
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 07, 2022
Last Updated
August 07, 2022

Practice Location

  • 187 Meadow Farm S
  • North Chili, NY 14514-1312

Phone: (315) 879-1756

Mailing Address

  • PO Box 47
  • North Chili, NY 14514-0047

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1548997752
Entity Type
Individual
Last Name
Carr
First Name
Tara
Middle Name
Michelle
Credential
LPN
Mailing Street Address
PO Box 47
Mailing City
North Chili
Mailing State
NY
Mailing ZIP Code
14514-0047
Mailing Country
US
Mailing Phone
(315) 879-1756
Practice Street Address
187 Meadow Farm S
Practice City
North Chili
Practice State
NY
Practice ZIP Code
14514-1312
Practice Country
US
Practice Phone
(315) 879-1756
Enumeration Date
August 07, 2022
Last Updated
August 07, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 07, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)