Johnson, Tara
Johnson, Tara is an individual health care provider with primary practice located at 5860 Ranch Lake Blvd Suite 200, Bradenton FL 34202-3718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Tara can be contacted via phone (941) 388-8997.Contact Information
Primary practice address
5860 Ranch Lake Blvd Suite 200
Bradenton FL 34202-3718
Phone: (941) 388-8997
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9371213 | Florida |
Profile Details
| NPI number | 1578916508 |
|---|---|
| LBN Legal business name | Johnson, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2016 |
| Last updated | Jul 14th, 2016 - about 10 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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