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Tara Morissette

Nurse Practitioner, Pediatrics in Akron, OH. Individual provider (NPI-1).

NPI number1962049080
StatusActive
Last updated in NPPESMar 30, 2021

Details

NPI
1962049080
Entity type
Individual (NPI-1)
Name
Tara Morissette
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2019
Certification date
Mar 30, 2021
Last updated
Mar 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAPRN.CNP.025208OHYes
163WP0200X Registered Nurse, PediatricsRN.350935OH

Practice location

1622 E Turkeyfoot Lake Rd Ste 100
Akron, OH 44312-5277

Phone 330-899-5437 · Fax 330-899-5447

Mailing address

1622 E Turkeyfoot Lake Rd Ste 100
Akron, OH 44312-5277

Phone 330-899-5437 · Fax 330-899-5447

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