Doctor Name: | TARA LYNN KAISER |
NPI Number: | 1164721981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A116569 |
Business Practice Address: | 1824 W 8th St Cedar Falls, IA - 506132056 |
Business Phone Number: | 3192770991 |
Business Fax Number: | 3192665452 |
Mailing Address: | 1824 W 8th St, CEDAR FALLS |
State: | IA |
Postal Code: | 506132056 |
Phone Number: | 3192770991 |
Fax Number: | 3192665452 |
NPI Enumeration Date: | 03/18/2011 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A116569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |