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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA LOUISE EDMISTON, PA

Active

TARA LOUISE EDMISTON, PA is a Physician Assistant healthcare provider located in OLEAN, New York. NPI 1396945374 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OLEAN, NY

Registration Details

NPI Number
1396945374
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2007 (19.036476391805 yrs)
Last Updated
Jul 19, 2007
License
P58386 (NY)

Practice Information

Address
515 MAIN ST
OLEAN, NY, 147601513
Browse NY providers · Browse ZIP 14760
Phone
7168172938
Fax
7166924342
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OLEAN, NY

Name Credential NPI
NICHOLE GREEN PA 1376535393
LAURA A PECORELLA RPA-C 1467435453
ERIN M FRANK PA-C 1467424226
LORI KAY MORRILL PA 1073675153
JILL DIANE NELSON PA-C 1790816015
BRIAN M HILL PA 1033373824
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.