Doctor Name: | TARA NEAL |
NPI Number: | 1194989871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | F0607183 |
Business Practice Address: | 2527 E Lyon Station Rd Creedmoor, NC - 275229112 |
Business Phone Number: | 9195281535 |
Business Fax Number: | |
Mailing Address: | 2527 E Lyon Station Rd, CREEDMOOR |
State: | NC |
Postal Code: | 275229112 |
Phone Number: | 9195281535 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2008 |
NPI Last Update Date: | 10/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0607183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |