Mcdonald, Tara Waters

Mcdonald, Tara Waters is an individual health care provider with primary practice located at 300 Greeno Rd S , Fairhope AL 36532-1905. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcdonald, Tara Waters can be contacted via phone (251) 929-3424.

Contact Information

Primary practice address
300 Greeno Rd S Fairhope AL 36532-1905
Phone: (251) 929-3424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1116286 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-116286 Alabama

Profile Details

NPI number 1356865992
LBN Legal business name Mcdonald, Tara Waters
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2017
Last updated Oct 20th, 2020 - about 6 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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