Tait, Tara

Tait, Tara is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Ste 120 , Coon Rapids MN 55433-2599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tait, Tara can be contacted via phone (763) 767-3350.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Nw Ste 120 Coon Rapids MN 55433-2599
Phone: (763) 767-3350
Fax: (763) 767-0912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Minnesota

Profile Details

NPI number 1912456062
LBN Legal business name Tait, Tara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2016
Last updated Jan 18th, 2019 - about 7 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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