Tara Lynn Staats, NP-C

NPI #1114402328 in Parkersburg, West Virginia

Provider Information

NPI Number: 1114402328
Entity Type: Individual
Name: Tara Lynn Staats, NP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: NP-C
Enumeration Date: Oct 3, 2018
Last Updated: Oct 3, 2018

Practice Location

Address: 4 ROSEMAR CIR
City: Parkersburg
State: West Virginia
ZIP Code: 26104-1219
Phone: (304) 865-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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