TARA RAE SANDUSKY

FORT SMITH, AR
NPI1063069326
Former NameTARA RAE HATTABAUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AR  121897)
Enumeration Date2019-08-21
Last Update Date2019-09-05
Business Address
TARA RAE SANDUSKY APRN
1001 TOWSON AVE
FORT SMITH, AR 72901-4921
Phone number: 479-441-5005
Mailing Address
TARA RAE SANDUSKY APRN
1001 TOWSON AVE
FORT SMITH, AR 72901-4921
Phone number: 479-441-4000
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