Tara Rotante, PA-C
Physician Assistant in Richmond, VA. Individual provider (NPI-1).
NPI number1033677448
StatusActive
Last updated in NPPESMay 26, 2020
Details
- NPI
- 1033677448
- Entity type
- Individual (NPI-1)
- Name
- Tara Rotante
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2019
- Certification date
- May 26, 2020
- Last updated
- May 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110-007193 | VA | Yes |
Practice location
7101 Jahnke RdRichmond, VA 23225-4017
Phone 804-483-0000
Mailing address
7101 Jahnke RdRichmond, VA 23225-4017
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