Tara Joan
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
2015 Grand Concourse
Bronx
, New York 10453-4303
Tara Joan
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
2015 Grand Concourse
Bronx
, New York 10453-4303
(347) 479-1303
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Tara Joan
- 1434 Williamsbridge Rd Fl 2
- Bronx, NY
- Zip : 10461-2507
- Fax : (347) 479-1303
- Phone : (718) 618-0401
Second Address
- Tara Joan
- 2015 Grand Concourse
- Bronx, NY
- Zip : 10453-4303
- Fax : (718) 299-6797
- Phone : (718) 299-7295
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FAQs
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What type of doctor is Tara Joan
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | F302878 | NY |
| N | 363LG0600X | Nurse Practitioner - Gerontology | F340417 | NY |
National Provider Identifier
| NPI | 1063979896 |
|---|---|
| Provider Name | Tara Joan |
| First Address | Bronx, NY 10461-2507 |
| Second Address | Bronx, NY 10453-4303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2019 |
| Last Update Date | 15/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.