| 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 | 363LF0000X Nurse Practitioner, Family (Licence: WV 63856)  | 
| 363L00000X Nurse Practitioner (Licence: WV APRN63856-NP-C)  | |
| Enumeration Date | 2016-05-11 | 
| Last Update Date | 2025-09-22 |