Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA L BROADWATER, MD
Active Sole ProprietorDR. TARA L BROADWATER, MD is a Psychiatry healthcare provider located in EAGAN, Minnesota. NPI 1255310298 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · EAGAN, MN
Registration Details
- NPI Number
- 1255310298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2006 (20.617734358811 yrs)
- Last Updated
- Apr 26, 2023
- Licenses
-
40655 (MN)40655 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
898 WESCOTT TRL APT 311EAGAN, MN, 551232272Browse MN providers · Browse ZIP 55123
- Phone
- 5073041899
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| BRYAN J SCHWIETERS | MD | 1841243631 |
| JOHN ROBERT SHIRRIFF | MD | 1912004607 |
| DR. BENJAMIN LANE HERSEY | M.D. | 1386960144 |
| DR. MELVINA DENEAL BISSONETTE | M.D. | 1417214644 |
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.