Tara Lynn Wisecarver, NP
Nurse Practitioner, Family in Newark, OH. Individual provider (NPI-1).
NPI number1316612948
StatusActive
Last updated in NPPESAug 16, 2021
Details
- NPI
- 1316612948
- Entity type
- Individual (NPI-1)
- Name
- Tara Lynn Wisecarver
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2021
- Certification date
- Aug 16, 2021
- Last updated
- Aug 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.0027738 | OH | Yes |
Practice location
1277 Brittany Hls ENewark, OH 43055-1622
Phone 740-404-6907
Mailing address
1277 Brittany Hls ENewark, OH 43055-1622
Phone 740-404-6907
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