Individual provider · Type 1 NPI

Tara Marshall Chitwood, PMHNP STUDENT

Student in an Organized Health Care Education/Training Program · Salem, VA

NPI number 1174427082 Active

Practice location

1906 Braeburn Dr
Salem, VA 24153-7304

Mailing address

1335 Clarke Ave SW
Roanoke, VA 24016-4901

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174427082

Tara Marshall Chitwood, PMHNP STUDENT's National Provider Identifier is 1174427082, issued on Oct 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salem, VA. The record was last updated on Oct 5, 2026.