Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA BARRACK, PA-C
ActiveTARA BARRACK, PA-C is a Surgical Physician Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1104266865 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1104266865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2013 (13.100780114511 yrs)
- Last Updated
- Apr 14, 2020
- License
-
11382 (MN)
Practice Information
- Address
-
9555 UPLAND LN NMAPLE GROVE, MN, 553694485Browse MN providers · Browse ZIP 55369
- Phone
- 9529931440
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Other Surgical Physician Assistant Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. ALISSA S VENTURA | PA-C | 1740255835 |
| MS. SHANNON M CHRISTOPHERSON | PA-C | 1538138722 |
| HIEU KIM CABAK | PA-C | 1518917731 |
| CHAD L SWEARINGEN | PA-C | 1558392878 |
| RACHEL DAWN MILLER | PA-C | 1760678874 |
| MEGAN E FASCHING | PA-C | 1639510795 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.