Ashworth, Tara Rae

Ashworth, Tara Rae is an individual health care provider with primary practice located at 2100 Emmanuel Way Suite B, Springfield OH 45502-7217. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ashworth, Tara Rae can be contacted via phone (937) 398-0020.

Contact Information

Primary practice address
2100 Emmanuel Way Suite B Springfield OH 45502-7217
Phone: (937) 398-0020
Fax: (937) 398-0021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.09226 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-09226 Ohio

Profile Details

NPI number 1609910132
LBN Legal business name Ashworth, Tara Rae
Credentials MS, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Oct 28th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609910132 NPPES
Ohio MEDICAID 2737953
Ohio Other P00385789

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