Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA ANTONUCCI, AGACNP-BC
ActiveTARA ANTONUCCI, AGACNP-BC is a Nurse Practitioner healthcare provider located in SAN DIEGO, California. NPI 1598476038 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SAN DIEGO, CA
Registration Details
- NPI Number
- 1598476038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2022 (3.6482917063215 yrs)
- Last Updated
- Apr 5, 2023
- Licenses
-
95021759 (CA)95021759 (CA)
Practice Information
- Address
-
200 W ARBOR DRSAN DIEGO, CA, 921039000Browse CA providers · Browse ZIP 92103
- Phone
- 8009268273
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY RAY FLOWERS | N.P. | 1013913045 |
| NANCY J BRASS-MYNDERSE | CFNP, MSN | 1164421962 |
| YOUNGMI P KIM | N.P. | 1720089618 |
| VICKI TARVER FAUCHER | FNP | 1295724375 |
| MELISSA D MCLENON | NP | 1801887179 |
| MS. EILEEN C CHERRY | NP | 1336121698 |
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.