Frederick, Tara

Frederick, Tara is an sole proprietor health care provider with primary practice located at 2 Trillium Way Ste 106 , Corbin KY 40701-8426. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Frederick, Tara can be contacted via phone (606) 528-1212.

Contact Information

Primary practice address
2 Trillium Way Ste 106 Corbin KY 40701-8426
Phone: (606) 528-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1144622 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3016843 Kentucky

Profile Details

NPI number 1497417265
LBN Legal business name Frederick, Tara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2021
Last updated Sep 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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