Individual provider · Type 1 NPI
Tara Flocco, RN, NP
Pediatric Nurse Practitioner · Stony Brook, NY
NPI number
1043485998
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F382313-1 (NY) |
| Registered Nurse | 163W00000X | 516300-1 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043485998
Tara Flocco, RN, NP's National Provider Identifier is 1043485998, issued on Apr 22, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 29, 2022.