Individual provider · Type 1 NPI
Tara Joan, ANP AND GNP
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1063979896
Active
Practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340417 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F302878 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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- Desiree Christina Allen, NPAdult Health Nurse Practitioner Bronx, NY NPI 1013677467
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- Grigoriy Fooks, DNP, NP-C, RN, ONCAdult Health Nurse Practitioner Bronx, NY NPI 1023481777
About NPI 1063979896
Tara Joan, ANP AND GNP's National Provider Identifier is 1063979896, issued on Feb 28, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Jul 15, 2020.