National Provider Identifier

Tara Joanne Demers, LPN

Tara Joanne Demers, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Perry, NY and a listed phone number of (585) 402-9004.

NPI 1922443027Perry, NYLicensed Practical Nurse

Profile Overview

NPI
1922443027
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 02, 2013
Last Updated
May 02, 2013

Practice Location

  • 3110 Ireland RD
  • Perry, NY 14530-9584

Phone: (585) 402-9004

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1922443027
Entity Type
Individual
Last Name
Demers
First Name
Tara
Middle Name
Joanne
Name Prefix
MS.
Credential
LPN
Mailing Street Address
3110 Ireland RD
Mailing City
Perry
Mailing State
NY
Mailing ZIP Code
14530-9584
Mailing Country
US
Mailing Phone
(585) 402-9004
Practice Street Address
3110 Ireland RD
Practice City
Perry
Practice State
NY
Practice ZIP Code
14530-9584
Practice Country
US
Practice Phone
(585) 402-9004
Enumeration Date
May 02, 2013
Last Updated
May 02, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)