Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA PITRE GORDON
ActiveTARA PITRE GORDON is a Case Manager healthcare provider located in GRAND COUTEAU, Louisiana. NPI 1578033866 is currently active in the NPPES registry. Verify at CMS.
Case Manager · GRAND COUTEAU, LA
Registration Details
- NPI Number
- 1578033866
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2018 (7.6896188722334 yrs)
- Last Updated
- Feb 28, 2021
- Licenses
-
CIT5128 (LA)005670607 (LA)
Practice Information
- Address
-
123 CHURCH STREETGRAND COUTEAU, LA, 70541Browse LA providers · Browse ZIP 70541
- Phone
- 3376623737
- Fax
- 3376623636
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Case Manager
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.