| NPI | 1235585027 |
|---|---|
| Other Name | TARA L. CROWDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN63856-NP-C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN63856-NP-C) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 63856) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-01-04 |