Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA LOVETT DETTRA, L.M., C.P.M.
Active Sole ProprietorMRS. TARA LOVETT DETTRA, L.M., C.P.M. is a Midwife healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1790929438 is currently active in the NPPES registry. Verify at CMS.
Midwife · SAINT AUGUSTINE, FL
Registration Details
- NPI Number
- 1790929438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2009 (17.269030680711 yrs)
- Last Updated
- Apr 24, 2009
- License
-
MW 227 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1093 A1A BEACH BLVDPMB 285SAINT AUGUSTINE, FL, 320806733Browse FL providers · Browse ZIP 32080
- Phone
- 9045407994
- Fax
- 9044714980
- Primary Specialty
-
Midwife
176B00000X
Other Midwife Providers in SAINT AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| MISTI DIANEE BALZER | C.P.M | 1669789673 |
| LINDSAY ERIN MEYER | LM, CPM | 1841573102 |
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.