Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA MICHELE NELSON, PA
Active Sole ProprietorPhysician Assistant · WHITEMAN AIR FORCE BASE, MO
Registration Details
- NPI Number
- 1528052750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2005 (20.64711379197 yrs)
- Last Updated
- Dec 11, 2024
- Licenses
-
15-00527 (KS)PYA113653 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
331 SIJEN AVEWHITEMAN AIR FORCE BASE, MO, 653051269Browse MO providers · Browse ZIP 65305
- Phone
- 6606872188
- Fax
- 6606872106
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WHITEMAN AIR FORCE BASE, MO
| Name | Credential | NPI |
|---|---|---|
| SHAWN HAMILTON MIRANDA | PA-C | 1194235879 |
| KATHAREEYA MEDEIROS | PA-C | 1255049201 |
| KYLE B BLAND | — | 1427748144 |
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.