MRS. Tara Rene Blackwelder, NP-C
NPI #1831526557 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1831526557
- Entity Type
- Individual
- Name
- MRS. Tara Rene Blackwelder, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Sep 27, 2013
- Last Updated
- Dec 11, 2025
Practice Location
- Address
- 224 W D. L. INGRAM AVENUE, BLDG. 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103-5014
- Phone
- (575) 784-2778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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