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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TARA RENE BLACKWELDER, NP-C

Active

MRS. TARA RENE BLACKWELDER, NP-C is a Family Nurse Practitioner healthcare provider located in CANNON AFB, New Mexico. NPI 1831526557 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CANNON AFB, NM

Registration Details

NPI Number
1831526557
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2013 (12.838156149896 yrs)
Last Updated
Dec 11, 2025
License
115187 (NE)

Practice Information

Address
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM, 881035014
Browse NM providers · Browse ZIP 88103
Phone
5757842778
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in CANNON AFB, NM

Name Credential NPI
MISS GENEVIEVE R CANETE 1740839257
DONNA ONG CALLA FNP-BC 1407604010
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.