TARA SIPE

FORT WAYNE, IN
NPI1164813481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71005342A)
Enumeration Date2015-02-09
Last Update Date2022-10-10
Business Address
TARA SIPE
7910 W JEFFERSON BLVD STE 112
FORT WAYNE, IN 46804-4159
Phone number: 260-969-7121
Mailing Address
TARA SIPE
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: