Individual provider · Type 1 NPI

Tara Manjunath Rous, FNP-C

Family Nurse Practitioner · Aptos, CA

NPI number 1205498474 Active

Practice location

7600 Old Dominion Ct
Aptos, CA 95003-3821

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95012107 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1205498474

Tara Manjunath Rous, FNP-C's National Provider Identifier is 1205498474, issued on Jul 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Aptos, CA. The record was last updated on Jul 24, 2019.