Desiree Evon Tarr, CRNP
Nurse Practitioner in Selinsgrove, PA. Individual provider (NPI-1).
NPI number1922565845
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1922565845
- Entity type
- Individual (NPI-1)
- Name
- Desiree Evon Tarr
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2019
- Certification date
- Aug 28, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP020067 | PA | Yes |
| 363LF0000X | Nurse Practitioner, Family | sp020067 | PA |
Practice location
201 Roosevelt AveSelinsgrove, PA 17870-7969
Phone 570-374-0151 · Fax 570-374-0311
Mailing address
517 N High StSelinsgrove, PA 17870-1651
Phone 570-847-3471
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