Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TARA MARIE DISALLE, PA-C
ActiveMS. TARA MARIE DISALLE, PA-C is a Physician Assistant healthcare provider located in HENDERSON, Nevada. NPI 1396269312 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HENDERSON, NV
Registration Details
- NPI Number
- 1396269312
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2017 (9.0180485036251 yrs)
- Last Updated
- Apr 12, 2021
- Licenses
-
50.005132RX (OH)50.005132RX (OH)PA2405 (NV)
Practice Information
- Address
-
1691 W HORIZON RIDGE PKWYSUITE 100HENDERSON, NV, 890123520Browse NV providers · Browse ZIP 89012
- Phone
- 7028041212
- Fax
- 7028041222
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HENDERSON, NV
| Name | Credential | NPI |
|---|---|---|
| JULIE S BRAUN | PA | 1396745873 |
| DOROTHY ELLA STONE | PA-C | 1083616445 |
| SHANNON SIGNORINO | PA C | 1396737235 |
| PAUL A MORGAN | PAC | 1871571018 |
| RICHARD DICARLO | — | 1831167691 |
| MR. TERRY ALLEN ROBICHAUD | PA-C | 1881644771 |
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.