Stacker, Tara

Stacker, Tara is an individual health care provider with primary practice located at 4150 Clement St , San Francisco CA 94121-1563. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Naturopath, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Stacker, Tara can be contacted via phone (415) 221-4810.

Contact Information

Primary practice address
4150 Clement St San Francisco CA 94121-1563
Phone: (415) 221-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 912 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95018529 California

Profile Details

NPI number 1871935437
LBN Legal business name Stacker, Tara
Credentials ND, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2013
Last updated Mar 19th, 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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