Stare, Tara Marie
Stare, Tara Marie is an sole proprietor health care provider with primary practice located at 130 Pine Grove Cmns , York PA 17403-5151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Stare, Tara Marie can be contacted via phone (717) 851-5736.Contact Information
Primary practice address
130 Pine Grove Cmns
York PA 17403-5151
Phone: (717) 851-5736
Fax: (717) 715-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | SP016855 | Pennsylvania |
Profile Details
| NPI number | 1811431562 |
|---|---|
| LBN Legal business name | Stare, Tara Marie |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2016 |
| Last updated | Oct 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811431562 | NPPES |
| Pennsylvania | MEDICAID | 103234795 |
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