Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA NICHOLS, ARNP
ActiveTARA NICHOLS, ARNP is a Gerontological Nurse Practitioner healthcare provider located in MASON CITY, Iowa. NPI 1629690508 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MASON CITY, IA
Registration Details
- NPI Number
- 1629690508
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2020 (6.2108084792384 yrs)
- Last Updated
- May 13, 2020
- License
-
W158701 (IA)
Practice Information
- Address
-
910 N EISENHOWER AVEMASON CITY, IA, 504011525Browse IA providers · Browse ZIP 50401
- Phone
- 6414285911
- Fax
- 6414285927
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.