Tara Edouard
Nurse Practitioner, Family in Islandia, NY. Individual provider (NPI-1).
NPI number1528977758
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1528977758
- Entity type
- Individual (NPI-1)
- Name
- Tara Edouard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2026
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F360407 | NY | Yes |
Practice location
1050 Nichols RdIslandia, NY 11749-5026
Phone 631-828-4545
Mailing address
1050 Nichols RdIslandia, NY 11749-5026
Phone 631-828-4545 · Fax 631-828-4552
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