Tara Michele Nelson, PA

NPI #1528052750 in Whiteman Air Force Base, Missouri

Provider Information

NPI Number: 1528052750
Entity Type: Individual
Name: Tara Michele Nelson, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 2, 2005
Last Updated: Dec 11, 2024

Practice Location

Address: 331 SIJEN AVE
City: Whiteman Air Force Base
State: Missouri
ZIP Code: 65305-1269
Phone: (660) 687-2188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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